presents
Wheeless' Textbook of Orthopaedics
www.wmt.com
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Microscopic Features of Bone





- Discussion:
    - osteoclasts are found in most of bone tumors, or at least there are
          multinucleated cells that look like osteoclasts;
          - there cells are quite striking in appearance;
    - host bone involved by a tumor reacts to it in a very limited manner;
    - it may undergo Resorption, which roentgenographically appears as
          lytic or osteoporotic area;
    - resorption is accomplished by osteoclasts that may be so abundant as to
          appear to be integral part of lesion rather than reaction to it;
    - host bone may respond to the presence of tumor by forming more bone;
          - this response is seen in the osteoblastic reaction to metastatic
              cancer of prostate;
    - its important to determine whether the bone formed in tumor is being
          produced by the actual tumor cells or by normal osteoblasts reacting
          to the tumor;
    - though there are several benign tumors which actually form bone, there
          is only one malignant bone-forming tumor, osteogenic sarcoma;
    - in most situations, the host bone responds to a tumor by combination
          of resorption and bone formation;



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