Tumour And Tumour Like Conditions of Bone

1
Tumour And Tumour Like Conditions of Bone

• benign tumours are common
• the most common malignant bone tumour are
  secondary metastasis
• second most common malignant bone tumours are
  haematogenous
• primary malignant tumours are rare

2
Metastatic Bone Tumours

• breast
• bronchus
• kidney
• prostate
• thyroid
• GI

3
Haematogenous Bone Tumours

• plasmacytoma
• multiple myeloma
• eosinophilic granuloma
• lymphoma
• leukaemia

4
Bone Cysts

• simple bone cyst
• fibrous dysplasia
• aneurysmal bone cyst

5
Benign Bone Tumours

• osteoma
• osteoid osteoma
• osteochondroma
• enchondroma

6
Benign Bone Tumours chondromata
7
Malignant Bone Tumours

• osteosarcoma
• Ewings sarcoma
• chondrosarcoma

8
Bone Tumours Clinical Presentation

• asymptomatic
• pain
• swelling
• history of trauma
• neurological symptoms
• pathological fracture

9
Bone Tumours Imaging

• solitary or multiple lesions?
• what type of bone is involved?
• which part of the bone is involved?
• are the margins of the lesion well defined?
• is there bony reaction?
• does the lesion contain calcification?

10
Bone Tumours Differential Diagnosis

• haematoma
• infection
• stress fracture
• myositis ossificans
• gout

11
Bone Tumours Treatment

• chemotherapy
• radiotherapy
• tumour excision
• limb salvage surgery
• amputation