Surgical Management of Bone Tumors: John D. Bennett DPM.FACFAS
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Questions and Answers

What is a very reliable indicator for distinguishing between benign and malignant bone lesions?

  • Family history of the patient
  • Occupation of the patient
  • Age of the patient
  • Margins (Zones of transition) (correct)
  • What is the significance of narrow margins in bone lesions?

  • They suggest a malignant lesion
  • They are not related to the nature of the lesion
  • They indicate a benign lesion (correct)
  • They show a complete absence of tumor
  • Which imaging technique is commonly used to evaluate the extent of bone tumors?

  • Magnetic Resonance Imaging (MRI) (correct)
  • Bone density scan
  • Electrocardiogram (ECG)
  • Complete Blood Count (CBC)
  • What is the purpose of an incisional biopsy in the evaluation of bone lesions?

    <p>To obtain a small sample for testing</p> Signup and view all the answers

    In the context of bone tumors, what does a wide margin imply?

    <p>The lesion is malignant</p> Signup and view all the answers

    Why is a high suspicion for a tumor warranted during the initial evaluation of bone lesions?

    <p>To ensure timely and appropriate management</p> Signup and view all the answers

    What type of bone lesion is characterized by 'Areas of destruction with ragged borders'?

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

    Which bone reaction pattern indicates biologic activity of the lesion?

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

    Which radiographic appearance is associated with very rapid bone growth where periosteum lays down little bone?

    <p>Sun-burst appearance</p> Signup and view all the answers

    Which stage of benign lesions presents with a more aggressive radiographic presentation and evidence of continued growth?

    <p>Stage 2</p> Signup and view all the answers

    What type of bone lesion has a 'Moth eaten' appearance and indicates more rapid growth?

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

    'Codman’s triangle' formation is associated with which type of rapid bone growth?

    <p>Sun-burst appearance</p> Signup and view all the answers

    What is the recommended treatment for benign stage 2 and 3 lesions?

    <p>Marginal excision with associated fusion</p> Signup and view all the answers

    Which lesions require a wide marginal excision according to the text?

    <p>Malignant stage 1 lesions</p> Signup and view all the answers

    What is a common treatment method for foot and ankle tumors as per the text?

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

    Which age group was covered in the analysis of surgical treatment of foot and ankle tumors?

    <p>1 to 64 years old</p> Signup and view all the answers

    What is a common treatment for malignant stage 1B and 2 lesions according to the text?

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

    Which of the following is not a common bone tumor as mentioned in the text?

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

    What is the primary concern in the treatment of bone tumors according to the text?

    <p>Soft tissue mass removal</p> Signup and view all the answers

    What is an important principle of biopsy mentioned in the text?

    <p>Dissecting sharply to the level of bone</p> Signup and view all the answers

    In the context of bone tumors, what is the purpose of creating a cortical window?

    <p>To access the tumor for excision</p> Signup and view all the answers

    What is a recommended initial treatment for heel pain in a 12-year-old male according to the text?

    <p>Ibuprofen and activity modification</p> Signup and view all the answers

    What activity restriction is suggested for a 37-year-old male with pain in the right hallux?

    <p>Nonweight bearing activities</p> Signup and view all the answers

    What is a common characteristic noted in the functional results of bone tumor treatment according to the text?

    <p>$27/33$ with good to excellent outcomes</p> Signup and view all the answers

    What was the treatment approach for the case with a pathology consistent with an aneurysmal bone cyst?

    <p>Excision of the lesion with bone curettage and packing with allogenic bone graft</p> Signup and view all the answers

    What was the pathology found in the case of the 35-year-old female with a mass in the lateral right foot?

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

    In the case of the 27-year-old female with stiffness and periodic pain in the ankle joint, what was the intra-osseous lesion identified?

    <p>Intra-osseous ganglion</p> Signup and view all the answers

    What were the objective findings mentioned in the case of the 57-year-old female with severe pain in the hallux?

    <p>+5/5 extrinsic muscles, atrophic skin, pain on palpation to the hallux</p> Signup and view all the answers

    What was the chief complaint of the 11-year-old male in Case #7?

    <p>Left painful 2nd digit</p> Signup and view all the answers

    What was the significant past medical history in Case #6?

    <p>Type 2 diabetes with neuropathy and hypertension</p> Signup and view all the answers

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