Pathology: Neoplastic diseases of bones and joints

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Questions and Answers

Which bone tumor is most common in dogs?

  • Fibrosarcoma
  • Chondrosarcoma
  • Osteosarcoma (correct)
  • Hemangiosarcoma

Primary bone tumors are:

  • More common in cats than dogs
  • Equally common across all species
  • Common in dogs, rare in other species (correct)
  • Exclusively found in reptiles and birds

In dogs, most bone tumors are benign

False (B)

Secondary tumors (metastases) of bones in animals are seldom diagnosed

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

How should canine osteosarcomas be regarded until proven otherwise?

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

Which anatomic locations are most commonly affected by osteosarcoma in dogs?

<p>“Away from the elbow and towards the knee” (distal radius, proximal humerus, distal femur, proximal tibia) (C)</p> Signup and view all the answers

Osteosarcomas in dogs most commonly arise in:

<p>The endosteum of long bones (C)</p> Signup and view all the answers

What is the most common signalment for canine osteosarcoma?

<p>Giant breed dogs, often presenting with lameness (B)</p> Signup and view all the answers

Match the radiographic appearance of the different osteosarcomas

<p>A = Lytic B = Sunburst C = Mass N/A = N/A</p> Signup and view all the answers

Which organ is the most common site for early metastasis of osteosarcoma?

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

Which of the following is true regarding osteosarcoma progression?

<p>Rapid progression with early lung metastasis (B)</p> Signup and view all the answers

Microscopic metastases in the lungs could be missed in pulmonary radiographs

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

A characteristic radiographic finding in osteosarcoma involving elevation of the periosteum is called:

<p>Codman’s triangle (B)</p> Signup and view all the answers

Why is Codman's triangle not a good site for biopsy sampling in suspected osteosarcoma?

<p>It is composed of periosteal new bone, not tumor tissue (C)</p> Signup and view all the answers

What is the preferred location for biopsy in suspected osteosarcoma?

<p>Metaphysis and lytic regions (C)</p> Signup and view all the answers

In a dog with osteosarcoma, you do NOT sample the periosteum

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

What are the two osteosarcoma subtypes?

<p>Hemangiosarcoma and telangiectatic OSA</p> Signup and view all the answers

Which osteosarcoma subtype contains irregular, broken capillaries within the tumor mass?

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

How can osteosarcoma subtypes be definitively identified?

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

Complete the sentence in the picture

<p>Medullary</p> Signup and view all the answers

Which of the following statements is true about osteosarcomas?

<p>They can arise in axial bones and soft tissues (D)</p> Signup and view all the answers

What is the second most common bone tumor in dogs?

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

Chondrosarcoma most commonly affects which bones?

<p>Flat bones like the ribs and nasal turbinates (B)</p> Signup and view all the answers

Chondrosarcomas appear ______ grossly.

<p>Grey/blue</p> Signup and view all the answers

Chondrosarcomas are most common in small and giant breeds

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

Which of the following statements about Multilobular Tumor of Bone is TRUE?

<p>Typically found in flat bones of the skull and can invade the brain (C)</p> Signup and view all the answers

Multilobuar tumor of bone has a classic appearance on histology

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

Which bone tumor is most commonly found in cats, especially at previous vaccination sites?

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

Skeletal fibrosarcomas originate from ____________, but may arise in metaphyses of long bones and resemble osteosarcomas

<p>Periosteal surface</p> Signup and view all the answers

Skeletal fibrosarcoma in dogs is most commonly found:

<p>In the maxilla, where it appears histologically benign but is invasive (C)</p> Signup and view all the answers

______________ are known to cross the joint space

<p>Fibrosarcomas</p> Signup and view all the answers

This lesion depicted above is caused by ____________

<p>Injection site sarcoma</p> Signup and view all the answers

Plasma cell myeloma is best characterized by:

<p>Multiple lytic lesions in the vertebrae and ribs (C)</p> Signup and view all the answers

Which tumor is associated with increased serum globulin and a monoclonal gammopathy peak?

<p>Plasma cell myeloma (B)</p> Signup and view all the answers

10% of plasma cell myeloma aka multiple myeloma cause hypercalcemia

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

Which of the following is a hallmark feature of humoral hypercalcemia of malignancy?

<p>Elevated calcium due to paraneoplastic syndrome (C)</p> Signup and view all the answers

What is the underlying cause of humoral hypercalcemia of malignancy (pseudohyperparathyroidism)?

<p>Autonomous secretion of PTH–related peptide (PTHrP) by cancer cells (C)</p> Signup and view all the answers

Which of the following tumors is not typically associated with humoral hypercalcemia of malignancy?

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

What is the primary mechanism by which neoplastic cells induce hypercalcemia of malignancy?

<p>Secretion of PTH-related protein (PTHrp) that stimulates PTH receptors. (B)</p> Signup and view all the answers

Which of the following best describes the effect of PTHrp on bone, kidney, and the gastrointestinal (GI) tract?

<p>Stimulation of osteoclastic bone resorption, calcium reabsorption from kidneys, increased calcium absorption from GI. (A)</p> Signup and view all the answers

In a case of hypercalcemia of malignancy induced by PTHrp, what would you expect to observe regarding PTH levels?

<p>Decreased PTH levels due to negative feedback. (B)</p> Signup and view all the answers

Which of the following humoral factors directly contributes to increased calcium levels in humoral hypercalcemia of malignancy?

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

What is a KEY difference between the action of PTH and PTHrp in causing hypercalcemia?

<p>PTH is regulated by calcium levels, while PTHrp is primarily tumor-driven. (B)</p> Signup and view all the answers

Which tumor often invades bone by direct extension rather than true metastasis?

<p>Squamous cell carcinoma (C)</p> Signup and view all the answers

What is a key feature of osteomas?

<p>Smooth, solitary nodules formed by intramembranous ossification (C)</p> Signup and view all the answers

Where are osteomas often found?

<p>In the skull</p> Signup and view all the answers

Ossifying fibromas are most commonly found in:

<p>Maxillae and mandibles of cattle and horses (B)</p> Signup and view all the answers

Which of the following benign tumors invades adjacent bone?

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

What is true of osteochondromas?

<p>Hereditary lesions projecting from bone near physes (A)</p> Signup and view all the answers

Which of the following benign tumors may cause spinal cord compression?

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

Match the joint neoplasms to its description/characteristics

<p>Histiocytic sarcoma = Vimentin and CD18/IBA1 positive (phagocytic and histiocytic phenotype) Synovial cell carcinoma = Common in joints &amp; tendon sheaths; positive for cytokeratin and vimentin Synovial myxoma = Second most common neoplasm in dog joints; affects middle aged large dog breeds, found in one joint N/A = N/A</p> Signup and view all the answers

Which neoplasm can spread to joints hematogenously?

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

Flashcards

Most common bone tumor in dogs?

Osteosarcoma

Primary bone tumors in animals?

Common in dogs, rare in other species.

Most bone tumors in dogs are benign?

False

Secondary bone tumors (metastases) are seldom diagnosed in animals?

True

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How to regard canine osteosarcomas?

Malignant and aggressive

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Common anatomic locations for osteosarcoma in dogs?

“Away from the elbow and towards the knee” (distal radius, proximal humerus, distal femur, proximal tibia)

Signup and view all the flashcards

Osteosarcomas in dogs arise from where?

The endosteum of long bones

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Most common signalment for canine osteosarcoma?

Giant breed dogs, often presenting with lameness

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Most common site for early metastasis of osteosarcoma?

Lungs

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Osteosarcoma progression?

Rapid progression with early lung metastasis

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Microscopic metastases in the lungs can be missed in pulmonary radiographs?

True

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Radiographic finding involving elevation of the periosteum?

Codman’s triangle

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Why is Codman's triangle not a good site for biopsy sampling?

It is composed of periosteal new bone, not tumor tissue

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Preferred location for biopsy in suspected osteosarcoma?

Metaphysis and lytic regions

Signup and view all the flashcards

In a dog with osteosarcoma, you do NOT sample the periosteum?

True

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What are the two osteosarcoma subtypes?

Hemangiosarcoma and telangiectatic OSA

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Which osteosarcoma subtype contains irregular, broken capillaries within the tumor mass?

Telangiectatic osteosarcoma

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How can osteosarcoma subtypes be definitively identified?

Histological examination

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Which of the following statements is true about osteosarcomas?

They can arise in axial bones and soft tissues

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Second most common bone tumor in dogs?

Chondrosarcoma

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Chondrosarcoma most commonly affects which bones?

Flat bones like the ribs and nasal turbinates

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Chondrosarcomas appear ______ grossly.

Grey/blue

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Multilobuar tumor of bone has a classic appearance on histology?

True

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Bone tumor most commonly found in cats, especially at previous vaccination sites?

Skeletal fibrosarcoma

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Skeletal fibrosarcomas originate from ____________, but may arise in metaphyses of long bones and resemble osteosarcomas

Periosteal surface

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Where is Skeletal fibrosarcoma in dogs most commonly found?

In the maxilla, where it appears histologically benign but is invasive

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______________ are known to cross the joint space

Fibrosarcomas

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This lesion depicted above is caused by ____________

Injection site sarcoma

Signup and view all the flashcards

Plasma cell myeloma is best characterized by:

Multiple lytic lesions in the vertebrae and ribs

Signup and view all the flashcards

Tumor associated with increased serum globulin and a monoclonal gammopathy peak?

Plasma cell myeloma

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Hypercalcemia of Malignancy

Cancer-induced high blood calcium. Neoplastic cells release PTHrp, stimulating PTH receptors, increasing bone resorption, kidney calcium reabsorption, and GI calcium absorption.

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PTHrp (Parathyroid Hormone-related Protein)

Mimics PTH by acting on bone, kidney, and GI tract to increase calcium levels.

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Humoral Factors Increasing Calcium

PTHrp, cytokines, steroids, 1,25-dihydroxyvitamin D3, and prostaglandins may increase calcium.

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PTH and PTHrp Levels in Hypercalcemia of Malignancy

Decreased PTH, increased PTHrp.

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Study Notes

  • Hypercalcemia of malignancy occurs when neoplastic cells secrete PTHrp
  • PTHrp then binds to PTH receptors located on bone, kidney, and the gastrointestinal (GI) tract
  • This binding stimulates osteoclastic bone resorption
  • It also increases calcium reabsorption from the kidneys
  • Calcium absorption from the GI tract increases
  • Overall PTH decreases but PTHrp increases
  • Humoral factors that increase calcium include PTHrp, cytokines, steroids, 1,25-dihydroxyvitamin D3, and prostaglandins

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