- See:
- Radiographic Features:
- Histologic Features:
- 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 & 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;
- Pathologic Frx:
- many tumors gradually erode bone and weaken it to the extent that it cannot withstand the strain of ordinary use;
- in such situations, minimal trauma may precipitate Pathologic frx;
- if there were no symptoms prior to time of frx, chances are that tumor is benign;
- solitary bone cyst, Fibrous Dysplasia, Nonossifying fibroma, and Enchondromas are benign lesions that frequently are first noted because
of fracture;
- on other hand, if frx has been preceded by dull, aching pain, possibility of malignant primary bone tumor or metastasis is likely;
- Characteristics of Benign Bone Tumors:
- benign bone tumors generally do not extend beyond the cortex of bone;
- often these tumors are surrounded by a radiodense margin of bone;
- where as metaphyseal tumors are common, diaphyseal tumors are uncommon;
- diff dx of beign diaphyseal tumors includes EOG and fibrous dysplasia