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OrthoVellum

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Oncology
intermediate
X-Type

Fibrosarcoma - Fibroblastic Bone Sarcoma

Primary Bone Malignancies

A 42-year-old man presents with a 4-month history of progressive thigh pain and swelling. Radiographs show a permeative lytic lesion of the distal femur with cortical destruction but no periosteal reaction or matrix mineralization. MRI demonstrates a soft tissue mass with extension through the cortex. Biopsy reveals a spindle cell neoplasm with herringbone pattern and collagen production without osteoid. Regarding fibrosarcoma of bone:

Mark each as TRUE or FALSE

A

Fibrosarcoma of bone is a rare primary malignancy composed of fibroblasts producing collagen but NOT...

B

Primary fibrosarcoma typically presents in the 4th to 6th decades (older than osteosarcoma) with a s...

C

Secondary fibrosarcoma arising in pre-existing conditions (Paget's disease, bone infarcts, irradiate...

D

Histologically, fibrosarcoma shows spindle cells arranged in a herringbone pattern (interlacing fasc...

E

Radiographically, fibrosarcoma presents as a purely lytic lesion with permeative or moth-eaten destr...

Answer the questions to see explanations

Click T (True) or F (False) for each option