Bone Tumors (Benign vs. Malignant)
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- Опубликовано: 4 июн 2024
- SUPPORT/JOIN THE CHANNEL: / @dirtymedicine
My goal is to reduce educational disparities by making education FREE.
These videos help you score extra points on medical school exams (USMLE, COMLEX, etc.)
For educational purposes only; NOT medical or other advice.
Some videos contain mild profanity and hyperbole solely used to assist with memorization. Viewer discretion advised.
Opinions are entirely my own.
The ways in which you organize your videos and provide mnemonics are 100% better than I've seen elsewhere. I appreciate you! Please keep it coming!!
I'm just a simple guy. I see a Dirty Medicine video. I watch it. Thank you my dude
Benign -
1) Osteo-chondroma - which age group has cartilage ? Under 25 yo males. Lateral Bony swelling in metaphysis of long bones, covered by cartilage (hence the chon in name). This is most common benign tumor (osteo common droma)
2) Osteoma - simplest oma. Remember simple middle aged people doing yoga in garden, saying "osteooooma". Associated with gardener syndrome. Facial bone affected (you can tell someones age by their face). Sensation of sinus pressure in face.
3) Osteoid osteoma - Not osteoma, as it has osteoid in it (black nodule in cortex of long bone 5:41, easy). Again under 25 male. Gives them night pain relieved by NSAIDs.
4) Osteo-blastoma - exact same as osteoid osteoma except - pain not relieved by NSAIDs (blasted with pain), and location is vertebra.
5) Chondroma - in medulla of small bones like hands and feet
6) Giant cell tumor - in 20-40 yr olds, in epiphysis of long bones. Giant cell arise from bone marrow. Mononuclear Rank-L expressing cells. Soap bubble in X-ray 8:50, easy (if you drop the soap, or you get something giant LMAO)
Malignant -
1) Osteo-sarcoma - young teen males. Metaphysis of long bones. Osteo-staroma ~ i.e. sun bursting appearance in xray 10:41, easy. Risk factors (weird) = retinoblastoma, pagets disease and radiation.
2) Chondro-sarcoma - in medulla of pelvis
3) Ewing-sarcoma - white boys under 15. Diaphysis of long bones. t(11,22) translocation. Pathology - Small blue cells that resemble lymphocytes. Onion skin in xray 13:13, not easy (Ew onions)
thanks!
After experiencing pain in my left Femur since June 2021, back in November it got so bad I could no longer sleep at night and could barely walk in the mornings…. I finally went to the doctor and they said my imaging is consistent with “ Giant Osteoid Osteoma “ it’s an osteoid osteoma that’s 6 inches on the surface of my femur, the pain is un describable. I literally want to scream, 5 minutes after taking Ibuprofen or Naproxen, the pain disappears 100%. Awaiting surgery to get it removed, I cannot wait to be pain free without taking pills!!!! I was 24 when I first noticed it.
For osteosarcoma: Page boy Metodi Fraumeni gets a Sunburst into his eyes
M. Paget, Boys, Methaphysis, Li-Fraumeni Syndrome, Sunburst appearance, Eyes = RB
Amazing as always! Just another Ewing memory aid for any Star Wars fans out there:
Ewing sounds like E-Wing which is a blue spaceship similar to the X-wing fighters the rebels use against the empire.
So many small blue cells (a squad of E-wings) resembling lymphocytes (or immune system fighters)!
I have nothing to do with medicine or biology but I still find it pretty fascinating..
Nice you avoided all the student loans.
Amazing video, really helped me mentally sort everything out, thank you!!
High yield and commonly overlooked, great topic!
half way through the video, and just want to say one thing, I love you
Absolutely love your mnemonics. I feel like I can read First Aid and Pathoma but it won’t stick til I watch your videos!
Osteo"Dark"oma .... Sun left ..*Retina not work .. *teens can't go out
-Sunburst
-lift periosteum
-Retinoblastoma
-Peek in teenagers
-it is Malignant and Dark ;)
This is life-saving!! Thank you so much!
"dont drop the soap or else you will get a giant suprise " LAMO
The peak moment of dirty medicine 😌
💀 🤣
what does it mean though??
English is my second language , could you mind to explain it to me please.
@@amaralishah1322 ما يحتاج يا شيخ عمار
@@galazio8123 can you say it in English please
thank you for reuploading this!!!
God bless you so much for this video. Seriously.
Thank you, I had trouble with this topic before!
Chon=cartilage, most common
OsteOOMA in GARDen
Osteoid osteOHma=oh, that feels good
OsteoBlasted with pain
Drop SOAP, u will get GIANT surprise
damn that last one had me XD
ew, an onion
He said not to drop it 😂
Really great review on Bone Tumors!
You’re the Goat 🐐. Thank You 🙏🏾
Sa a klè wi!
superrrr helpful and informative, being a med student nothing is more relieving than getting a gud teacher , thankuh Sir
" Don't drop the soap or you're in for a giant surprise " LOL
Thank you! Also remember giant cell tumor is the only one that presents on epiphysis!
Giant cell tumor is the only bone tumor more common in females and the only one that goes on to present till the age of 40
Bone tumors that arise in the epiphysis: giant cell tumor, clear cell chondrosarcoma & chondroblastoma
Rudy Luna, you need to modify your comment.
Great video. Thank you !!
Osteo-v-lastoma: found in vertebra
Osteoid osteoma: has -ID in it, so NSAID responsive.
thanks d
Thanks great vid . I think chondrosarcoma is kinda high yield because I've seen it in multiple Qbanks (especially it's histology)
yes it's .. actually I think it's the most high-yield bone tumor
You are the best...studying has become easy since I met you😘
you could also just say "osteoSUNcom" for sunburst appearance of osteosarcoma!
It's really amazing sir 👏thank you for making the bone tumor more easy ✨
10:46 is a Sunburst because it looks like the bony growth are like the solar flares I see it now after watching this video 4 times xD
amazing video- in med school now and this was better the lectrues here!
Your videos have been sooooo helpfull! But the 'malignant' tumors not being the red colored ones is INSANE to me lol
😂
Exactly
I had a weird question on Uworld where the patient was experiencing pain that was not responsive to NSAIDs but osteoblastoma was not an option, the answer ended up being osteosarcoma.
I annotated in FA but a guess a hint for others is OsteoSarcoma can have pain not relieved by NSAIDs as well
This was amazing. now I feel confident with the exam I'll be writing on Monday. (today is Saturday)😊😊😊😊
Hope you do great. God bless!
really cool video!! it's precise
oste - oooooooooooh - ma 🎶
super amazing brother, u are so brilliant
Dead at "Dont drop the soap or you'll get a giant surprise"
it's so good, thanks a lot
Thanks for the information
That was helpful. Thanks a lot
THANK YOU.
Thanks a lot!!!
Thank you so much for making this video!!
I expected you to go with "OsteoSUNcoma" but nope right to "Suckoma" lolol
this is gold!!!
Thank you so much brother 😌
Amazing video and educative
Thankyou so much for great video,it helped me alot.
for Osteoid Osteoma-> think of a guy in relief after pain(response to NSAIDs) saying "Ohh Ohh" /sigh of relief
After experiencing pain in my left Femur since June 2021, back in November it got so bad I could no longer sleep at night and could barely walk in the mornings…. I finally went to the doctor and they said my imaging is consistent with “ Giant Osteoid Osteoma “ it’s an osteoid osteoma that’s 6 inches on the surface of my femur, the pain is un describable. I literally want to scream, 5 minutes after taking Ibuprofen or Naproxen, the pain disappears 100%. Awaiting surgery to get it removed, I cannot wait to be pain free without taking pills!!!!
Thank you ☺️
OO that does feel better! Thanks!!!
this was great!
THANK YOU SO MUCHH!
Excellent 👍👌❤❤❤
Thanks sir!
A LIFE SAVER !!!
well done !!
Thank you
splendid vedio
Thank you sir.
Codmans triangle (between cortex and raised end of periosteum) in osteosarcoma xray.
Amazing ❤
u r awesome .thank u💚
07:49 at 20-40 y/o i don't think there's an epiphysis? did you mean metaphysis? great video overall though - thanks so much for your help
Speaking of bony mnemonics
"Don't drop the soap or you will get a giant surprise"
Is there a video on autoimmune diseases?
video on different disorders of sex chromosomes such as Turner and Klinefelt
Thank.you.so.much.sir.
Perfect 🥰 tq a lot
thx soooooo much
God❤ you’re a lifesaver
Can you make a video on different disorders of sex chromosomes such as Turner and Klinefelter as well disorders of sexual development such as Androgen Insensitivity Sydrome next? Thank youu!!
No doubt dirty will ace this topic till then you can watch 28 minutes video by bnb. He has explained it very well. Like really well. Good luck
I cannot even begin to phatom his mnemonics on this one XD
I love To watch this video❤
Tysm
I love you man :")
you did a 3 hour lecture in 14:35 min what do we do for the remainder of our time.
ty!
amazing
What about benign lytuc lesion … can I still
Workout with this condition
sarcoma = malignant, in this case
AMAZING VIDEO LOVE IT
why the Bone expanse by tumors or cyst ? is it hard ?
Females
B&B states Ewing Sarcoma is typically in the metaphysis, does it vary?
Location
lower limb: 45%
femur most common
pelvis: 20%
upper limb: 13%
spine and ribs: 13% (thoracic Ewing sarcoma)
sacrococcygeal region most common 4
skull/face: 2%
Alternatively 3:
long bones: 50-60%
femur: 25%
tibia: 11%
humerus: 10%
flat bones: 40%
pelvis: 14%
scapula
ribs: 6% (thoracic Ewing sarcoma)
As far as a location within long bones, the tumor is almost always metadiaphyseal or diaphyseal 2,3:
mid-diaphysis: 33%
metadiaphysis: 44%
metaphysis: 15%
epiphysis: 1-2%
Finally may be not smart enough to remember all but I won't forget their name for sure 🥺🥺🥺🥺🥺
Wow needed this
it is the best
That traslocation 11+22 = 33 Patrick Ewing reference seems familiar
Yeah everybody knows this reference
@@DirtyMedicine But not everybody uses that, osteoooooooma in the GARDen. Very High Yield.
I wonder what engineers the translocation? Not an MD, but my nephew just passed from Ewings. 26 y old; from sx to passing, 6 months--despite chemo, radiation and 2 spine surgeries. Devastating
Bro when i have enough i will seriously donate you 1000$. Wish me luck. Exam is in feb.
Good luck!!! You will crush it my friend
@@DirtyMedicine thanks man. U have helped alot. Do you accept bitcoin?
Thanks aloooooooooooooooot love you to moon and back
This maybe a lil bit of a stretch but we can remember Ewing’s translocation by the EW in Ewing, if you flip the W it looks like a 33, sooo... t(11,22) ... 11+22= 33
I know... it’s a stretch
And great video!
I always think of osteosarcoma as osteoSTARcoma
They just found a tumor in my sholder trying to do more research they think it's osteochondroma hoping and praying it's nothing more serious
Need two month of step schedule
Don’t drop the soap or you’ll get a giant surprise 😂😂😂
💯
❤
0:55,5:30,7:13,11:00,11:50
Can the benign tumors turn malignant?