Bone Tumors
Dr. Majed Alasbali
Take Home Messages
Core Concepts
- Systematic approach to orthopedic oncology cases
- Structured X-ray interpretation using the 7 key features
- Important lesions: SBC, ABC, Osteoid Osteoma, GCT, Osteosarcoma
- Special considerations: Epiphyseal lesions, Intra-articular tumors
- Treatment principles: Surgical margins, adjuvant therapy
- Complication awareness: Treatment-related adverse effects
Key Learning Points
- Age-based differential diagnosis
- Location-based tumor patterns
- Imaging interpretation skills
- Biopsy indications and techniques
- Treatment planning principles
- Recognition of complications
Differential Diagnosis: What This Lesion Could Be?
- Is it benign or malignant bone tumor?
- Is it benign or malignant soft tissue tumor?
- Is it primary tumor or metastasis?
- Is it metabolic disease?
- Is it infection?
Evaluation Process
The comprehensive evaluation includes:
- History
- Physical examination
- Laboratory studies
- Imaging
- Biopsy
History
Key Components
- Personal Data: Age
- History of Presenting Illness (HPI)
- Functional Assessment
- Constitutional Symptoms
- Past, Family, and Social History
History of Presenting Illness (HPI)
Common presenting complaints include:
- Painless mass (bony or soft tissue)
- Painful mass (bony or soft tissue)
- Pathological fracture
- Incidental finding on imaging
Physical Examination
Key Assessment Areas
- Look, Feel, Move - comprehensive musculoskeletal examination
- Adjacent joints Range of Motion (ROM)
- Neurovascular (NV) examination
- Lymph node assessment
- General physical examination