Bone and Cartilaginous Tumors Quiz

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Questions and Answers

Which type of tumors are the most common malignant tumors of the skeletal system?

  • Benign tumors
  • Metastatic tumors (correct)
  • Osteoma
  • Primary malignant tumors

What is the most common age range for the development of most bone tumors?

  • 0-10 years
  • 30-40 years
  • 10-20 years (correct)
  • 20-30 years

Where are osteomas most commonly seen?

  • Head and neck, especially in the paranasal sinuses (correct)
  • Spine
  • Pelvis
  • Long bones of the extremities

What are the most common type of primary bone tumors?

<p>Osteoma (D)</p> Signup and view all the answers

What is the most important factor to consider for making a correct diagnosis of bone tumors?

<p>Location of the tumor (C)</p> Signup and view all the answers

Which age group do most bone tumors tend to develop in?

<p>10-20 years (D)</p> Signup and view all the answers

What are benign lesions generally like?

<p>Asymptomatic and detected incidentally (C)</p> Signup and view all the answers

What are some benign tumors associated with?

<p>Genetic syndromes such as Li-Fraumeni (B)</p> Signup and view all the answers

What is the classification of the most common bone tumors?

<p>Bone forming tumors (C)</p> Signup and view all the answers

What are the most common malignant tumors of the skeletal system?

<p>Metastatic tumors (C)</p> Signup and view all the answers

Which bone tumor typically causes localized bone pain that worsens at night and responds to Aspirin?

<p>Osteoid osteoma (D)</p> Signup and view all the answers

Which bone tumor is commonly located in the vertebral column and does not respond to Aspirin?

<p>Osteoblastoma (B)</p> Signup and view all the answers

Which bone tumor is the most common primary malignant bone tumor and typically affects the knee, hip, shoulder, or chin?

<p>Osteosarcoma (A)</p> Signup and view all the answers

Which bone tumor is associated with RB gene mutations, especially in sporadic cases?

<p>Osteosarcoma (C)</p> Signup and view all the answers

Which benign bone tumor may be associated with nerve compression or pain when their stems are broken?

<p>Osteochondroma (C)</p> Signup and view all the answers

Which benign bone tumor is typically found incidentally, but may be present in syndromes like Ollier and Maffucci, with a risk of malignant transformation in the latter?

<p>Chondroma/enchondroma (A)</p> Signup and view all the answers

Which malignant connective tissue tumor is more common in individuals over 40 and often presents as a painful, slowly growing mass?

<p>Chondrosarcoma (A)</p> Signup and view all the answers

What is the 5-year survival rate of low-grade chondrosarcomas?

<p>80-90% (D)</p> Signup and view all the answers

What is the potential for lung metastasis in osteosarcoma?

<p>High (C)</p> Signup and view all the answers

What is the behavior directly related to the biological grade of chondrosarcoma?

<p>Tumor size (D)</p> Signup and view all the answers

Which type of tumor is commonly associated with GNAS gene mutations?

<p>Fibrous dysplasia (B)</p> Signup and view all the answers

Which bone tumor is most commonly associated with hematogenous metastasis to the lungs and skeleton?

<p>Chondrosarcoma (B)</p> Signup and view all the answers

Which bone tumor is typically smaller than 5 mm and common in the distal femur and proximal tibia?

<p>Fibrous cortical defect (A)</p> Signup and view all the answers

Which bone tumor is commonly found in skeletally immature patients, especially in the first two decades of life?

<p>Aneurysmal bone cyst (A)</p> Signup and view all the answers

Which tumor is a malignant tumor arising from notochord residues in intervertebral discs?

<p>Chordoma (C)</p> Signup and view all the answers

Which type of bone tumor is the most common in individuals over 50 years old?

<p>Chondrosarcoma (B)</p> Signup and view all the answers

Which benign tumor is not accompanied by endocrine disorders and tends to involve the femur, skull, tibia, and humerus, causing severe deformity and spontaneous fractures?

<p>Fibrous dysplasia (D)</p> Signup and view all the answers

Which bone tumor is often located around the knee epiphysis and occurs predominantly in people aged 20-40?

<p>Giant cell tumor (A)</p> Signup and view all the answers

Which malignant tumor is often diagnosed in individuals under 20 years old and is the second most common primary bone sarcoma after osteosarcoma?

<p>Ewing sarcoma (A)</p> Signup and view all the answers

Which bone tumor is usually located in the metaphysis of long bones?

<p>Osteosarcoma (D)</p> Signup and view all the answers

Which bone tumor is most commonly associated with genetic syndromes such as Li-Fraumeni?

<p>Osteosarcoma (B)</p> Signup and view all the answers

Which benign bone tumor is typically found incidentally, but may be present in syndromes like Ollier and Maffucci, with a risk of malignant transformation in the latter?

<p>Enchondroma (B)</p> Signup and view all the answers

Which bone tumor is commonly located in the vertebral column and does not respond to Aspirin?

<p>Osteoblastoma (D)</p> Signup and view all the answers

Which bone tumor is often diagnosed in individuals under 20 years old and is the second most common primary bone sarcoma after osteosarcoma?

<p>Ewing sarcoma (A)</p> Signup and view all the answers

Which bone tumor is typically smaller than 5 mm and common in the distal femur and proximal tibia?

<p>Osteoid osteoma (B)</p> Signup and view all the answers

Which bone tumor is the most common primary malignant bone tumor and typically affects the knee, hip, shoulder, or chin?

<p>Osteosarcoma (C)</p> Signup and view all the answers

Which benign bone tumor may be associated with nerve compression or pain when their stems are broken?

<p>Osteoma (D)</p> Signup and view all the answers

Which bone tumor is commonly found in skeletally immature patients, especially in the first two decades of life?

<p>Chondroblastoma (B)</p> Signup and view all the answers

Which bone tumor is usually located in the metaphysis of long bones?

<p>Giant cell tumor (C)</p> Signup and view all the answers

Which bone tumor is associated with RB gene mutations, especially in sporadic cases?

<p>Osteosarcoma (B)</p> Signup and view all the answers

Which bone tumor typically causes localized bone pain that worsens at night and responds to Aspirin?

<p>Osteoid osteoma (D)</p> Signup and view all the answers

Which bone tumor is commonly located in the vertebral column and does not respond to Aspirin?

<p>Osteoblastoma (C)</p> Signup and view all the answers

Which bone tumor is associated with RB gene mutations, especially in sporadic cases?

<p>Osteosarcoma (A)</p> Signup and view all the answers

Which benign bone tumor may be associated with nerve compression or pain when their stems are broken?

<p>Osteochondroma (D)</p> Signup and view all the answers

What is the 5-year survival rate of low-grade chondrosarcomas?

<p>80-90% (B)</p> Signup and view all the answers

Where are osteosarcomas typically located?

<p>Knee (D)</p> Signup and view all the answers

Which bone tumor is more common in individuals over 40 and often presents as a painful, slowly growing mass?

<p>Chondrosarcoma (B)</p> Signup and view all the answers

What is the most common primary malignant bone tumor?

<p>Osteosarcoma (D)</p> Signup and view all the answers

What is the behavior directly related to the biological grade of chondrosarcoma?

<p>Aggressiveness (A)</p> Signup and view all the answers

Which benign tumor is not accompanied by endocrine disorders and tends to involve the femur, skull, tibia, and humerus, causing severe deformity and spontaneous fractures?

<p>Osteochondroma (C)</p> Signup and view all the answers

Which bone tumor is associated with the presence of the BRACHURY marker?

<p>Chordoma (C)</p> Signup and view all the answers

Which benign tumor is caused by GNAS gene mutations and exists in three clinical forms?

<p>Fibrous dysplasia (B)</p> Signup and view all the answers

In which bone tumor do bone lesions with osteoclast-like giant cells occur?

<p>Giant cell tumor (C)</p> Signup and view all the answers

Which bone tumor is commonly found in skeletally immature patients, especially in the first two decades of life?

<p>Aneurysmal bone cyst (B)</p> Signup and view all the answers

Which bone tumor is more common in individuals over 50 years old?

<p>Chondrosarcoma (D)</p> Signup and view all the answers

Which bone tumor is usually located in the metaphysis of long bones?

<p>Osteosarcoma (D)</p> Signup and view all the answers

Which bone tumor is associated with osteoclast-like giant cells and predominantly occurs in people aged 20-40?

<p>Giant cell tumor (A)</p> Signup and view all the answers

Which benign tumor is often detected incidentally and is typically smaller than 5 mm?

<p>Nonossifying fibroma (A)</p> Signup and view all the answers

Which malignant tumor is often diagnosed in individuals under 20 years old and is the second most common primary bone sarcoma after osteosarcoma?

<p>Ewing sarcoma (B)</p> Signup and view all the answers

Which bone tumor is commonly associated with hematogenous metastasis to the lungs and skeleton?

<p>Chondrosarcoma (B)</p> Signup and view all the answers

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Study Notes

Bone and Cartilaginous Tumors: Key Characteristics and Types

  • Chondrosarcomas lead to hematogenous metastasis, particularly to the lungs and skeleton, and require wide excision for treatment.
  • Fibrous and fibroosseous tumors, such as fibrous cortical defect and nonossifying fibroma, are developmental disorders often detected incidentally, typically smaller than 5 mm, and common in the distal femur and proximal tibia.
  • Fibrous dysplasia, a benign tumor, is caused by GNAS gene mutations and exists in three clinical forms: monostotic, polyostotic, and a form associated with endocrine disorders, skin pigmentations, and precocious puberty due to McCune Albright Syndrome.
  • Monostotic fibrous dysplasia cases, which make up 70% of instances, often occur in the ribs, femur, tibia, jaw bones, skull, and humerus and can cause significant enlargement, deformity, pain, and pathological fractures.
  • Poliostotic fibrous dysplasia, found in younger individuals, is not accompanied by endocrine disorders and tends to involve the femur, skull, tibia, and humerus, causing severe deformity and spontaneous fractures.
  • Bone lesions with osteoclast-like giant cells, including giant cell tumor, aneurysmal bone cyst, and others, are benign but locally aggressive, occurring predominantly in people aged 20-40 and often located around the knee epiphysis.
  • Aneurysmal bone cyst, comprising about 2.5% of all bone tumors, is a benign locally destructive neoplasm commonly found in skeletally immature patients, especially in the first two decades of life.
  • Chordoma is a malignant tumor arising from notochord residues in intervertebral discs, typically located in the sacrococcygeal vertebra region and diagnosed with the BRACHURY marker.
  • Metastatic bone tumors are the most common bone tumors, with over 75% originating from prostate, breast, kidney, and lung cancers in adults, and from neuroblastoma, Wilms tumor, and rhabdomyosarcomas in children.
  • Ewing sarcoma, a small round cell malignant tumor of bone and soft tissue, is the second most common primary bone sarcoma after osteosarcoma, often diagnosed in individuals under 20 years old.
  • Osteogenic tumors, Ewing's sarcoma, chondroblastoma, and giant cell tumor typically occur in individuals under 20 years old, while chondrosarcoma is more common in individuals over 50.
  • Osteosarcoma is usually located in the metaphysis of long bones, chondrosarcoma in the pelvis and proximal ends of long bones, and Ewing sarcoma in the diaphysis of long bones, providing insight into the localization of these tumors.

Bone and Cartilaginous Tumors: Key Characteristics and Types

  • Chondrosarcomas lead to hematogenous metastasis, particularly to the lungs and skeleton, and require wide excision for treatment.
  • Fibrous and fibroosseous tumors, such as fibrous cortical defect and nonossifying fibroma, are developmental disorders often detected incidentally, typically smaller than 5 mm, and common in the distal femur and proximal tibia.
  • Fibrous dysplasia, a benign tumor, is caused by GNAS gene mutations and exists in three clinical forms: monostotic, polyostotic, and a form associated with endocrine disorders, skin pigmentations, and precocious puberty due to McCune Albright Syndrome.
  • Monostotic fibrous dysplasia cases, which make up 70% of instances, often occur in the ribs, femur, tibia, jaw bones, skull, and humerus and can cause significant enlargement, deformity, pain, and pathological fractures.
  • Poliostotic fibrous dysplasia, found in younger individuals, is not accompanied by endocrine disorders and tends to involve the femur, skull, tibia, and humerus, causing severe deformity and spontaneous fractures.
  • Bone lesions with osteoclast-like giant cells, including giant cell tumor, aneurysmal bone cyst, and others, are benign but locally aggressive, occurring predominantly in people aged 20-40 and often located around the knee epiphysis.
  • Aneurysmal bone cyst, comprising about 2.5% of all bone tumors, is a benign locally destructive neoplasm commonly found in skeletally immature patients, especially in the first two decades of life.
  • Chordoma is a malignant tumor arising from notochord residues in intervertebral discs, typically located in the sacrococcygeal vertebra region and diagnosed with the BRACHURY marker.
  • Metastatic bone tumors are the most common bone tumors, with over 75% originating from prostate, breast, kidney, and lung cancers in adults, and from neuroblastoma, Wilms tumor, and rhabdomyosarcomas in children.
  • Ewing sarcoma, a small round cell malignant tumor of bone and soft tissue, is the second most common primary bone sarcoma after osteosarcoma, often diagnosed in individuals under 20 years old.
  • Osteogenic tumors, Ewing's sarcoma, chondroblastoma, and giant cell tumor typically occur in individuals under 20 years old, while chondrosarcoma is more common in individuals over 50.
  • Osteosarcoma is usually located in the metaphysis of long bones, chondrosarcoma in the pelvis and proximal ends of long bones, and Ewing sarcoma in the diaphysis of long bones, providing insight into the localization of these tumors.

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