RADD 2712 Comprehensive Arthritis Chart

RADD 2712 Comprehensive Arthritis Chart - Hard Tissue 1...

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Hard Tissue 1 - Final Tumors Pathology AKA's Age Sex Incidence A/Symptomatic Location Lesions Features Misc. Primary Bone Tumors: Bone Forming Tumors: Osteoma Benign Asympt A bone Hemartoma Osteoid Osteoma Benign 10-25 2:1 Male Osteoblastoma Benign 2:1 Male Very Rare Rare is npine, paraspinal pleural line Metaphysis; Parosteal Malignant Rare Localized pain Grown out into soft tissue Periosteal Malignant Rare Cartilage Forming Tumors: Enchondroma Benign Equal Asympt Osteochondroma Bony Exostosis Benign <20 2:1 Male Asympt Fibromyxoidchondroma Benign 10-30 Equal Uncommon Proximal tibia Chondroblastoma Benign 2:1 Male Rare ***Chondrosarcoma Malignant 30-50 2:1 Male Osteosarcoma Malignant 2:1 Male Pain ***Giant Cel Tumor of Bone Osteoclastoma 20-40 Solitary Lytic Wel Defined (Geo) Epiphyseal Lesions of Bone: Common Uncommon Marrow Tumors/Round Cel Tumors: Ewing's Tumor Sarcoma Malignant Aggressive, fast growing, mixed lesions Malignant 2:1 Male RARE ***Multiple Myeloma Malignant 2:1 Male Classical Vert, ribs, flat bones Punched out lesions Myelomatosis generalized osteopenia look benign trouble nose breathing Vascular and Connective Tissue Tumors: Hemangioma Benign >40 Asympt ***Fibrosarcoma Malignant Chordoma: Malignant 40-70 RARE Tumor Like Disorders: Primary Bone Cyst Asympt Non-Ossifying Fibroma 2:1 Male Asympt Cortical expansion/thinning occurs Fibrous Cortical Defect FCD 4-8 2:1 Male Asympt Metaphyseal ***Brown Tumor: Expansile, destructive Fil s w/ blood, become expansile Pseudotumor of Hemophilia Glomus Tumor: adult Female Epidermoid Inclusion Cyst: ***Aneurysmal Bone Cyst ABC Females Non Neoplastic fil ed with blood ***Blow out Lesion of Bone Metastic Tumors: Malignant >40 Painful bone pain 80% ribs, spine, pelvis 90% Including the skul No pat ern, focal, localized Ivory Vertebra; paraspinal line Random distribution Skul : punched out lesions Benign/ Malignant Membranous bone; Paranasal/ Frontal Sinus, Ethmoidal most common Don't get >2cm; round/oval, wel - circumscribed radiopaque Most require no treatment High correlation with Gardener's Syndrome: triad of abnorm growth (mult. Osteomas, colonic polyps, soft tissue fibromas) Giant Osteoid Osteoblastoma Severe Pain, worse at night w/ vasomotor disturbances (sweating, Inc temp) Metaphysis; Localized, pin- point; Femur neck of trochanter, tibia - big tubular bones; Geographic, eccentric, solid periosteal rxn, Inc density around radiolucent nidus, short zone, coarse trabecul.; 3 locations: cortical, medul ary, b/t periosteum Painful/rigid scoliosis (lesion on concave side); Spine: dense pedicle, t.p., facet, lamina Hard to see on plain film, need CT <20; 10-20 localized pain; painful scoliosis neural arch of spine; S.p., T.p., Lamina radiolucent, Very expansile, thin peripheral cortical rim, >2 cm; May have had recent trauma Not relieved by aspirin Central Sclerotic: TEENS , met to lungs, cod ▲, dist. Femur Cental Lytic: motheat/perm, tub bone, cod ▲, path fx, not defined geo lesion
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RADD 2712 Comprehensive Arthritis Chart - Hard Tissue 1...

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