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Nailed It Ortho
Board/OITE Review: Oncology 02 - General Principles, Planned Incisions, etc
Mar 15, 2024
Explore insights on distinguishing bone forming tumors on x-rays, tumor types like giant cell tumors, and periosteal reactions for effective diagnosis. Dive into cancer staging methods, imaging techniques, and biopsy types in oncology. Learn about coordinating with radiologists for biopsies, principles of incision biopsy in oncology surgery, and more in this board review podcast.
19:55
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Quick takeaways
- Cloud-like calcifications in bone forming tumors like osteosarcomas, with cotton ball appearance on x-rays, aid in quick identification in adolescent patients.
- Different periosteal reactions on x-rays reveal tumor growth patterns, distinguishing between controlled, rapid expansion, and failed containment, aiding in benign vs. malignant differentiation.
Deep dives
Identification of Bone Forming Tumors on X-Rays
Bone forming tumors, specifically osteosarcomas, are characterized by cloud-like calcifications on x-rays rather than the ring and arcs calcifications seen in cartilage forming tumors. The appearance is described as resembling cotton balls inside the bone with haphazard calcifications. Recognizing these features, especially in adolescent patients, can help identify osteosarcoma quickly as a knee-jerk reaction based on the appearance and age of the individual.
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