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Soft Tissue/Skeletal
ST/S
46
Pathology
Professional
07/01/2011

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Cards

Term
T/F Soft Tissue tumor - lower grade is better.
Definition
True
Term
What do soft tissue tumors metastasize thru?
Definition
Blood.
Term
What is the translocation w/ Ewing's Sarcoma?
Definition
t11:22
Term
What is the translocation w/ Synovial Sarcoma?
Definition
tx:18
Term
What are fibrous and fibrohistiocytic tumors associated with?
Definition
Trauma. Usually regress spontaneouly. Benighn.
Term
What is the most common soft tissue tumor?
Definition
Lipoma - benign - cured by resection.
Term
What is the prognosis for liposarcoma related to?
Definition
Grade.
Term
What is the most common soft tissue tumor in kids?
Definition
Rhabdomyosarcoma. Malignant tumor of skeletal muscle.
Term
What is a malignant tumor of smooth muscle?
Definition
Leiomyosarcoma.
Term
What is neurofibromatosis?
Definition
Aut. dominant - skin lesions.
Term
What chromosome is Neurofibromatosis type 1 associated with?
Definition
17 -also called von recklinhausen.
Term
What is associated with NF1?
Definition
MPNSTs. Malignant Peripheral Nerve Sheath Tumor..
Term
What chromosome is Neurofibromatosis type 2 associated with?
Definition
22 - aut. dominant.
Term
What is a characteristic lesion of NF2?
Definition
Acoustic Shwannomas. Tumor of the myelin producers of CN VIII.
Term
What causes synovial sarcoma?
Definition
Idiopathic. Can arise in joint or elsewhere. Typically a high grade.
Term
What induces osteoclastic activity?
Definition
PTH
Term
What is the first stage of healing after a bone fracture?
Definition
Hematoma - extravasation of blood outside the vessels.
Term
What is the second stage of healing after a bone fracture?
Definition
Callue formation - deposition of bone & cartilage matrix within hematoma. Happens 1-3 weeks after fracture.
Term
What is the third stage of healing after a bone fracture?
Definition
Callus remodeling - blasts and clasts work together to form strong bone architecture.
Term
How is osteomyelitis transmitted?
Definition
Thru the blood.
Term
What is osteomyelitis?
Definition
Acute or chronic bone infection.
Term
What is the most common pathogen in osteomyelitis?
Definition
Staph aureus.
Term
What hormonal deficiency is related to Osteoporosis?
Definition
Estrogen.
Term
What are the histological characteristics of Osteoporosis?
Definition
Less bone w/ cortical bone and bony trabeculae.
Term
What is Vit. D deficiency called?
Definition
Rickets and Osteomalacia.
Term
Who does Paget's affect?
Definition
Old folks.
Term
What is the late form of Paget's disease called?
Definition
Osteosclerosis.
Term
What is osteosclerosis?
Definition
Late thickening of bone due to net osteoblastic activity.
Term
How is neoplastic bone disease diagnosed?
Definition
Radiology, histology, patient characteristics, location, can't just look at histology.
Term
T/F Gardener's Syndrome is benign.
Definition
True.
Term
What is characteristic in Gardener's Syndrome?
Definition
Presence of polyps in the colon and tumors outside the colon. Osteomas.
Term
Who is affected in Giant cell tumors?
Definition
Middle aged - 20-40 yo.
Term
Where do giant cell tumors occur?
Definition
Epiphysis of long bones.
Term
Giant cell tumor - giant multinucleated cells mixed with small uninucleate cells - which is neoplastic?
Definition
Prob small cells.
Term
What is characteristic for osteosarcoma?
Definition
Osteoid - bone matrix - affects young people = metaphyses of appendiceal beones.
Term
Osteosarcoma/Chondrosarcoma - which affects young people/old people?
Definition
Chondro-old Osteo-young.
Term
What does osteoarthritis affect?
Definition
Large joints - trauma and congenital abnormalities are primary influences.
Term
When is osteoarthritis worst?
Definition
After use - late in the day.
Term
What cause RA?
Definition
Autoimmune - lymphocyte and immune comples. RF - serum marker for the disease.
Term
T/F RA is bilaterally symmetric?
Definition
True
Term
What joints does RA infect?
Definition
Small joints initially - progresses to large joints.
Term
When is RA worst?
Definition
In the morning - after inactivity..
Term
What causes cartilage destruction w/ inflammation and pannus form/granulation tissue?
Definition
RA.
Term
What is present in synovial fluid with IA?
Definition
Infectious Arthritis - Neutrohpils - no crystals. These are present in GA.
Term
What is the pathogenesis of Gouty Arth?
Definition
Hyperuricemia (urea in blood) leads to deposits in joints.
Term
What is the classic site for GA?
Definition
Big toe.
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