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ChiroBoards2: Malignant and Benign

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Answer
m/c bbt of the appendicular skeleton =   osteochondrom  
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shapes of osteochondromas   pedunculated (coat-hanger exostosis) or sessile (broad band extensions)  
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Coat hanger exostosis and cauliflower-like describes what?   pedunculated tumors  
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Multiple osteochondromas =   Hereditary multiple exostosis  
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% of malignant osteochondromas in HME?   20%  
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Unicameral bone cyst, aka =   Simple bone cyst  
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associated with fallen fragment sign =   unicameral bone cyst  
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Where are simple bone cysts located?   diaphyseal/metaphyseal = centrally located  
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simple bone cyst age group   less than 20yoa  
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Diaphyseal/metaphyseal; ECCENTRICALLY locate   Aneurysmal bone cyst  
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ABC age group =   less than 2yoa  
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Epiphyseal/metaphyseal location, 20-40yo; 20% of the time quasi-malignant. soap bubble appearance   Giant cell tumor  
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Night pain relieved by asprin   Osteoid Osteoma  
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Radiolucent central nidus (<2cm) with severe reactive sclerosis   Osteoid Osteoma  
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Night pain relieved by asprin and appears like an osteoid osteoma, nidus (>2cm)   Brodie's abscess  
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Brodie's abscess aka...   chronic osteomyelitis  
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Most common BBT of the hand, may have a stippled appearance   enchondroma  
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multiple enchondromas =   Ollier's Disease  
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% of malignancy in Ollier's   10-50% rate of malignant degeneration (highest rate of malignancy in BBT)  
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multiple enchondromas with soft tissue calcification is known as what syndrome?   Maffucci's Syndrome  
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Most common BBT of the spine   Hemangiomas  
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Will appear with vertical striations and have a corduroy cloth appearance =   Hemangiomas  
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Bone island; round or oblong radiopaque lesion   Enostoma  
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Multiple bone islands   Osteopoikilosis  
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Most common BBT to affect skull =   osteoma  
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Most commonly found in the frontal sinus and best seen on the Caldwell projection.   osteoma  
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"rind sign" assoic. with   Fibrous dysplasia  
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Saber shin tibia, sheppard's crook, ground glass appearance, cafe au lait =   Fibrous dysplasia  
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coast of main appearance lesion   Fibrous dysplasia  
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Pt, may present with scoliosis, cervical kyphosis, verterbral body scalloping with IVF enlargement, and cafe au lait spots   Neurofibromatosis  
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Cast of California appearance lesion   Neurofibromatosis  
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Most common primary malignancy of bone =   MM  
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Plasma cell sarcoma, aka.=   MM  
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punched out lesions, vertebral plana, and associated with rain drop skull   MM  
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Multiple myeloma labs/special tests = (5 )   1) M spike on immunoelectrophoresis; 2) Reversal of Albumin/Globulin Ratio; 3) Bence-Jones Proteinuria; 4) elevated ER, Bone scan = Cold  
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most common malignant tumor of bone   metastatic dx (lytic and blastic)  
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Over age of 40, recent unexplained weight loss, skeletal pain is worse at night. Affected bones are darker in color with moth eaten(extremities) or permeative (spine( pattern of destruction =   Lytic Metastasis  
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"Eats" away pedicle from bone. Has a "swiss cheese" appearance in the skull. =   Lytic metastasis  
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Lab/Special tests for Lytic metastasis = (2)   Alk phos elevated; Bone scan is hot  
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Over 40 yo, ivory white vertebrae; most common cause is from prostatic carcinoma =   Blastic metastasis  
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Most common form of metastasis in ages 20-40   hodgkin's dx  
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Bone may become more radiopaque in color, ivory white vertebrae with anterior body scalloping =   hodgkin's dx  
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Uni-lateral hilar lymphadenopathy in white males seen on PA chest view with this malignancy =   hodgkin's dx  
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reed sternberg cells in =   hodgkin's dx  
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4 stages of Paget's =   Lytic or destructive, then combined, then sclerotic, then malignant (osteosarcoma)  
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picture frame vertebrae =   in Paget's  
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Most common malignancy found in children =   osteosarcoma (age 10-30)  
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causes a periosteal rxn that is spiculated/radiating/sunburst in appearance. pt. is 10-30 years old =   osteosarcoma  
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causes a periosteal rxn that is spiculated/radiating/sunburst in appearance. pt. is over 40 years old =   Chondrosarcoma and fibrosarcoma  
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Found in kids/teens, most commonly in diaphysis of long bones. Permeative lesion causes a multi-paralleled onion skin (laminated) perosteal reaction. =   Ewing's Sarcoma  
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Bone expansion, codman's triangle, and saucerization are all seen in   Ewing's Sarcoma  
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Aberrant notochordal cell tumor =   Chordoma  
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where are chordoma's typically found?   Sacrum (1st), and Skull (2nd)  
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