Bone Tumor | Important Points | Medicine

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June 8, 2025
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`Bone Tumors: Important Points ?`

*Site of Origin Mnemonic:*

`"GO OO FEMOR"`
______________

- *G*: Giant Cell Tumor → *Epiphysis*

- *OO*: Osteosarcoma, Osteochondroma → *Metaphysis*

- *FEMOR*: Fibrosarcoma, Ewing Sarcoma, Myeloma/Metastasis, Osteoid Osteoma, Reticulum Cell Tumor → *Diaphysis*
______________

*Tumors by Site of Origin:*

- *Epiphyseal Tumors*:
   - Giant Cell Tumor (GCT)
   - Osteoblastoma

- *Metaphyseal Tumors*:
   - Osteosarcoma
   - Osteochondroma (Exostosis)

- *Diaphyseal Tumors*:
   - Fibrosarcoma
   - Ewing Sarcoma
   - Multiple Myeloma / Metastasis
   - Osteoid Osteoma
   - Reticulum Cell Tumor / Round Cell Tumor
______________

*Important Tumors at a Glance*

1. *Giant Cell Tumor ?*
   - 50% occur around the knee
   - Locally aggressive
   - *"Soap bubble"* appearance on X-ray
   - Histology: Multinucleated giant cells
   - Age group: 20–40 years

2. *Osteochondroma (Exostosis)*
   - Most common benign bone tumor
   - Occurs in males <25 years

3. *Osteosarcoma*
   - 2nd most common primary malignant bone tumor
   - Hematogenous spread → LLB: Lung, Liver, Brain
   - X-ray: Codman’s triangle / Sunburst pattern
   - Usually arises in metaphysis

4. *Ewing Sarcoma*
   - Highly malignant "blue cell" tumor
   - Early and aggressive metastasis
   - X-ray: Onion-skin periosteal reaction
   - Associated with t(11;22) translocation
   - Arises in diaphysis

5. *Multiple Myeloma*
   - Most common primary malignant bone tumor
   - Originates from plasma cells
   - Common in older adults
______________

*Mnemonic: GEOMEDia*

- *G*: Giant Cell → *Epiphysis*

- *O*: Osteosarcoma → *Metaphysis*

- *O*: Osteochondroma → *Metaphysis*

- *E*: Ewing Sarcoma → *Diaphysis*
[6/7, 1:24 AM] null: Answer: D. 

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