Chondrosarcoma and Ewing Sarcoma
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Questions and Answers

Which type of stem cells do hondrosarcomas arise from?

  • Nervous system stem cells
  • Mesenchymal stem cells (correct)
  • Hematopoietic stem cells
  • Epithelial stem cells

What is a characteristic radiographic finding in early chondrosarcomas?

  • Ewing sarcoma sign
  • Garrington sign (correct)
  • Widening of the cortical bone
  • Sclerotic margins

Which malignancy of bone arises from marrow mesenchymal stem cells with reciprocal translocation of chromosomes 11 and 22?

  • Ewing sarcoma (correct)
  • Fibrosarcoma
  • Osteosarcoma
  • Chondrosarcoma

What clinical presentation can lead to confusion between Ewing sarcoma and osteomyelitis?

<p>Fever and bone necrosis (C)</p> Signup and view all the answers

How does Ewing sarcoma typically appear radiographically?

<p>Ill-defined destructive lesion with focal areas of residual bone (B)</p> Signup and view all the answers

What distinguishes a true chondrosarcoma from other types of sarcomas?

<p>Demonstrates bone formation (D)</p> Signup and view all the answers

Which radiographic sign is characteristic of early chondrosarcomas?

<p>Widening of the periodontal ligament space (B)</p> Signup and view all the answers

What is the clinical manifestation of Ewing sarcoma that can lead to confusion with osteomyelitis?

<p>Presence of fever (B)</p> Signup and view all the answers

What differentiates Ewing sarcoma from true chondrosarcomas radiographically?

<p>Ill-defined destructive lesion (A)</p> Signup and view all the answers

What is a characteristic feature of hondrosarcomas based on their origin?

<p>Demonstrate bone formation (C)</p> Signup and view all the answers

Study Notes

Chondrosarcomas

  • Arise from mesenchymal stem cells
  • Undergo partial differentiation to form chondroblastic differentiation or cartilage
  • A true chondrosarcoma cannot demonstrate bone
  • Radiographically, early chondrosarcomas show a widening of the periodontal ligament space (Garrington sign)

Ewing Sarcoma

  • A very aggressive and destructive malignancy of bone
  • Arises from marrow mesenchymal stem cells
  • Characterized by reciprocal translocation of chromosomes 11 and 22
  • Clinically manifests as a rapidly expanding lesion
  • Accompanied by mobile teeth, fever, and bone necrosis
  • Can be confused clinically with osteomyelitis
  • Radiographically produces an ill-defined destructive lesion with focal areas of residual bone
  • Residual bone resembles sequestra

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Test your knowledge on the characteristics of chondrosarcoma and Ewing sarcoma, including their origins, differentiation patterns, radiographic features, and clinical presentation.

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