BONE TUMOURS

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BONE TUMOURS

• For Medical Students

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Work-up of Bone Tumour Patient

• HISTORY
• Age
• Sex
• Site
• Past Medical History

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Examination

• Thyroid
• Breasts
• Chest
• Liver and Kidney
• Vaginal(F)/Rectal Examination and Genitalia

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Investigations

• Urine (RBC / Bence Jones proteose
• BloodFBC,ESR,/Ca,P,Alk Phos,/Acid Phos
  PSA/Total Prots-Alb/Glob
• CXR
• Ultrasound Abdomen
• Bone scan
• MRI
• CT
• Angiography
• BIOPSY

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TREATMENT

• Surgery Amputation / endoprosthesis / palliative
• Chemotherapy
• Radiotherapy

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Staging of Tumours

• Histology
• Site
• Metastases
• FOR PROGNOSIS AND MANAGEMENT

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CLASSIFICATION

• Primary Tumours Benign /Malignant
• Secondary Tumours

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Bone Cysts

• ABC / simple bone cyst

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Giant Cell Tumour
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Osteochondroma

• Commonest benign tumour of bone

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Ewings tumour
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Osteogenic Sarcoma
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Bony Metastases
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