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18 Cards in this Set
- Front
- Back
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Location of oft tissue sarcoma
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Same in all 3 compartments
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Signs of malignancy in soft tissue sarcoma
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Size
Infiltrative growth Intravasal growth Necrosis Low differentiation |
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When to refer soft tissue sarcoma
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> 5 cm
Deep (subfascial) Suspected malignancy |
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Soft tissue sarcom symptoms
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No pain
No tenderness Solid Warm/cold All ages |
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Lipoma
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Most common soft tissue tumor
40-60 yo Overweight |
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Nodular fasciitis
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Painful soft tissue tumor - reactive
20-35 yo Subcutaneous or along fascia Spontaneous improvement in 2-4 months |
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Fibromatosis
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Benign but locally aggressive
Men>Women Sometimes radiotherapy + chemotherapy |
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Hemangioma
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Common in children
Spontaneous regression before 7 yo 0.5 % of all children |
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Glomus tumor
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Rare, painful
Blue & red Usually subungual |
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Schwannoma
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20-50 yo
Common Slow growth Painful, paresthesia |
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Non-ossifying fibroma
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Benign fibrous defect
Usually eccentric in the metafysis Disappears b4 30 yo Mostly tibia & femur |
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Enchondroma
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Cartilage-producing tumour
Tumors usually begin and grow in childhood, then stop growing but remain present throughout adulthood. 10-20 yo Incidentally found Phalanges + metafysis of long bones |
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Osteid osteoma
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Nidus < 2 cm
Produces prostaglandin => NSAID relief Spine osteoma => scoliosis 5-25 yo Radiofrequency ablation If nidus > 2 cm osteoblastoma |
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ABC tumor
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Aneurysmal bone cyst
Expansile lesion consisting of blood filled spaces separated by connective tissue septa |
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Osteochondroma
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Exostosis
From the physis Children - don't grow in adults Local symptoms - bursitis/pressure |
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Ostosarcoma (central)
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10-20 yo
Around the knee, proximal humerus & pelvis Codmans triangle - periosteal reaction Sunbursts |
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Parosteal osteosarcoma
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25-40 yo
Less malignant than central Distal femur, 80 % in the femur Often curative with wide local surgical excision |
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Ewing sarcoma
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5-25 yo
Painful, red, swelling + fever and leukocytosis Diafyseal of long bones, ribs, pelvis and scapula Periosteal reaction, moth-eaten |