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Bone Tumors (Long Bone (Metaphysis (Osteosarcoma (Mostly males less than…
Bone Tumors
Long Bone
Epiphysis
Giant Cell Tumor
20-40 yo
Epiphysis of long bones often in knee
Benign but locally aggressive
Neoplastic mononuclear cells that express RANKL and osteoclast-like multinucleated cells
Soap bubble on x-ray
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Metaphysis
Osteosarcoma
Mostly males less than 20 yo
Common primary bone cancer, but can also be secondary
On metaphysis of long bones often in knee
Malignant osteoblasts
Painful
Codman triangle - triangle shaped tumor because periosteum holds it to that shape
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Osteochondroma
Males Less than 25 yo
Metaphysis of long bones
Lateral bony projections of growth plates covered by cartilage caps
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Diaphysis
Osteoid Osteoma
Mostly males less than 25 yo
Cortex of long bones
Bone pain relieved by NSAIDs
Bone mass with radiolucent osteoid core
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Ewig Sarcoma
Mostly Caucasian boys less than 15 yo
Diaphysis of long bones, pelvis, and flat bones
Neuroectodermal cells that resemble lymphocytes
T(11;22) fusion EWS-FLI1
Onion skin periosteum
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Pelvis
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Ewig Sarcoma
Mostly Caucasian boys less than 15 yo
Diaphysis of long bones, pelvis, and flat bones
Neuroectodermal cells that resemble lymphocytes
T(11;22) fusion EWS-FLI1
Onion skin periosteum
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Facial Bone
Osteoma
Middle age
Surface of facial bones
Associated with Gardner Syndrome (variant of familial adenomatous polyposis)
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