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Oncology
intermediate
X-Type

Osteochondroma

Benign Bone Tumors

A 16-year-old boy presents with a painless bony mass near his right knee that he has noticed for 2 years. The mass has grown slowly and causes no functional limitation. He has no family history of similar lesions. Examination reveals a firm, non-tender mass arising from the distal femur metaphysis, pointing away from the joint. Radiographs show a sessile bony projection continuous with the underlying bone cortex and medulla. MRI shows a cartilage cap less than 1cm thick. Regarding osteochondromas:

Mark each as TRUE or FALSE

A

Osteochondroma (exostosis) is the most common benign bone tumor, representing 35-40% of benign bone ...

B

The cartilage cap (remnant of growth plate cartilage) undergoes enchondral ossification producing th...

C

Osteochondroma is a malignant tumor; it grows toward the adjacent joint; the cortex and medulla are ...

D

Hereditary Multiple Exostoses (HME/MHE) is an autosomal dominant condition with mutations in EXT1 or...

E

Asymptomatic osteochondromas can be observed; surgical excision is indicated for symptomatic lesions...

Answer the questions to see explanations

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