Ortho-Preferred

Bone Tumors which cause Localized Pain



- Diff Dx: Painful Joint:
    - four conditions may cause an excruciatingly painful joint;
         - infection
         - Gout or, rarely, Pseudogout;
         - Rheumatic Fever;
         - Tumor;
- Diff Dx Tumor:
    - osteoid osteoma
    - Osteosarcoma
    - chondrosarcoma
    - Chondroblastoma
    - Fibrosarcoma of bone
    - Fibrous Dysplasia
    - Giant Cell Tumor of Bone
    - Eosinophilic granuloma
    - Ewing's sarcoma
    - Reticulum cell sarcoma
- Discussion: Painful Tumors:
    - clinical features associated with bone tumors include pain, deformity, and impairment of function;
    - pain is feature common to almost all malignant tumors of bone, but may or may not be present in benign lesions;
    - malignant bone tumors are usually associated with deep, aching pain, which, although not sharp and sometimes not severe, is quite
         distressing to the patient because of its constancy;
    - pain that persists at night and is not relieved by rest is suggestive of malignancy; however, certain benign tumors, such as osteoid osteoma,
         are characterized by nocturnal pain;
    - mild, dull, aching back pain that suddenly becomes excruciating w/ such insignificant trauma as sitting down a bit hard suggests pathologic 
         compression frx in vertebra involved by metastatic cancer



Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Friday, September 16, 2011 3:52 pm