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18 Cards in this Set

  • Front
  • Back
Location of oft tissue sarcoma
Same in all 3 compartments
Signs of malignancy in soft tissue sarcoma
Size
Infiltrative growth
Intravasal growth
Necrosis
Low differentiation
When to refer soft tissue sarcoma
> 5 cm
Deep (subfascial)
Suspected malignancy
Soft tissue sarcom symptoms
No pain
No tenderness
Solid
Warm/cold

All ages
Lipoma
Most common soft tissue tumor
40-60 yo
Overweight
Nodular fasciitis
Painful soft tissue tumor - reactive
20-35 yo
Subcutaneous or along fascia

Spontaneous improvement in 2-4 months
Fibromatosis
Benign but locally aggressive
Men>Women

Sometimes radiotherapy + chemotherapy
Hemangioma
Common in children
Spontaneous regression before 7 yo

0.5 % of all children
Glomus tumor
Rare, painful
Blue & red
Usually subungual
Schwannoma
20-50 yo
Common
Slow growth
Painful, paresthesia
Non-ossifying fibroma
Benign fibrous defect

Usually eccentric in the metafysis
Disappears b4 30 yo

Mostly tibia & femur
Enchondroma
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
Osteid osteoma
Nidus < 2 cm
Produces prostaglandin => NSAID relief
Spine osteoma => scoliosis

5-25 yo

Radiofrequency ablation

If nidus > 2 cm osteoblastoma
ABC tumor
Aneurysmal bone cyst

Expansile lesion consisting of blood filled spaces separated by connective tissue septa
Osteochondroma
Exostosis

From the physis
Children - don't grow in adults

Local symptoms - bursitis/pressure
Ostosarcoma (central)
10-20 yo
Around the knee, proximal humerus & pelvis

Codmans triangle - periosteal reaction
Sunbursts
Parosteal osteosarcoma
25-40 yo

Less malignant than central
Distal femur, 80 % in the femur

Often curative with wide local surgical excision
Ewing sarcoma
5-25 yo

Painful, red, swelling + fever and leukocytosis

Diafyseal of long bones, ribs, pelvis and scapula

Periosteal reaction, moth-eaten