Physical Exam: Transillumination Technique
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Questions and Answers

What is the purpose of transillumination during a physical exam?

  • To identify fluid-filled lesions (correct)
  • To differentiate between benign and malignant lesions
  • To detect calcific or radio-opaque densities within the mass
  • To establish connections with bones and joints
  • Which feature is NOT typically associated with malignant lesions?

  • Greater than 5cm diameter
  • Mobile (correct)
  • Less than 3cm diameter
  • Deep
  • What imaging modality is particularly useful for differentiating some tumors from infections?

  • Magnetic Resonance Imaging (MRI)
  • Computed Tomography (CT) (correct)
  • Positron Emission Tomography
  • Ultrasonography
  • Which type of lesions are often detected using plain film radiography for monitoring purposes?

    <p>Abdominal and Chest tumors</p> Signup and view all the answers

    In what scenario are traditional CT scans still considered useful despite offering less soft tissue contrast than MRI?

    <p>Identifying intra-osseous gas from an infection</p> Signup and view all the answers

    Which feature is more likely to be associated with benign lesions based on the provided text?

    <p>+/- Painful</p> Signup and view all the answers

    Which imaging modality can help distinguish edema from a localized mass?

    <p>Positron Emission Tomography (PET)</p> Signup and view all the answers

    What substance is often attached to a naturally utilized chemical in Positron Emission Tomography (PET)?

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

    Which laboratory test is NOT specifically mentioned for soft tissue tumors in the text?

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

    What does Nuclear Medicine primarily help localize and detect?

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

    What is the primary purpose of a biopsy in the context of soft tissue tumors?

    <p>To confirm diagnosis through histopathological analysis</p> Signup and view all the answers

    Which imaging technique is useful for showing if a lesion is fluid-filled or solid?

    <p>Diagnostic ultrasound</p> Signup and view all the answers

    What is the most common pediatric soft tissue tumor?

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

    Which type of hemangioma is comprised of larger blood vessels that are dilated?

    <p>Cavernous hemangioma</p> Signup and view all the answers

    How are capillary hemangiomas characterized in terms of their blood vessels?

    <p>Normal in size and diameter, tightly packed</p> Signup and view all the answers

    What imaging characteristic is associated with hemangiomas on ultrasound?

    <p>Echogenic, well-defined mass with vascular flow on color doppler</p> Signup and view all the answers

    Which treatment method is often employed prior to resection for cavernous hemangiomas?

    <p>Beta blocker medication</p> Signup and view all the answers

    What type of tumor arises from the glomus body and is characterized by an arteriovenous shunt surrounded by connective tissue?

    <p>Glomus tumor</p> Signup and view all the answers

    What is the recommended treatment for Synovial Sarcoma?

    <p>Wide surgical excision</p> Signup and view all the answers

    Which factor is NOT associated with a worse prognosis in Synovial Sarcoma?

    <p>Proximal location of the tumor</p> Signup and view all the answers

    What is a common presentation of Clear Cell Sarcoma?

    <p>Painless palpable mass in deep seated regions of the extremity</p> Signup and view all the answers

    Which imaging technique may show Clear Cell Sarcoma as benign?

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

    What is the significance of tumors with more than 20% poorly differentiated patterns in Synovial Sarcoma?

    <p>Worse prognosis</p> Signup and view all the answers

    Which factor increases the risk of local recurrence in Synovial Sarcoma?

    <p>Positive margin after resection</p> Signup and view all the answers

    What is the recommended type of biopsy for lesions suspected to be malignant?

    <p>Incisional biopsy</p> Signup and view all the answers

    Which type of biopsy involves removing the entire lesion for pathological identification?

    <p>Excisional biopsy</p> Signup and view all the answers

    What is a notable complication associated with open incisional biopsies?

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

    What is the main advantage of needle biopsies over other methods?

    <p>Reduced contamination risk</p> Signup and view all the answers

    What is the primary purpose of maintaining hemostasis during a biopsy procedure?

    <p>Control bleeding</p> Signup and view all the answers

    When is an excisional biopsy NOT recommended?

    <p>For suspected malignancy</p> Signup and view all the answers

    What type of biopsy involves 'slicing' the sample for immediate stain and analysis?

    <p>Frozen section biopsy</p> Signup and view all the answers

    Which type of biopsy is more useful for fluid-filled lesions?

    <p>Fine needle biopsy</p> Signup and view all the answers

    What is the primary reason for performing a core needle biopsy over a fine needle biopsy?

    <p>Reduced contamination risk</p> Signup and view all the answers

    What is the role of a tumor board in cancer treatment facilities?

    <p>Review cases and provide expert diagnosis coordination</p> Signup and view all the answers

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