Escolar Documentos
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Tumours
Relatively common
Usually recognised by their position and radiographic
appearance
If doubt
Treatment
What is a Chondroma?
What is an Osteochondroma?
No specific treatment
necessary unless it is a cause of
recurrent fracture curettage
and bone grafting usually
curative
What is a Haemangioma?
Treatment
Symptomless conservative mx
Pathological fracture long bone
stabilization fixation
Radiotherapy to inaccessible areas for
symptomatic lesions only
Haemangioma in spine
Histiocytosis X
One of a family of conditions which includes
Hand-Schuller-Christian and Letterer-Swie
disease
Presents in adolescence
Skull, mandible, vertebral bodies, ribs,
metapysis long bones
Pain is presenting feature
Radiographic appearance
Lucent area with cortical thinning
Vertebral body lesions have a typical
flattened, dense appearance
Treatment
Biopsy is essential currettage usually
erradicates it
Multiple lesions suggests more complex
form of disease