Old White Men
M&M
This or That
Syndromes
Slash and Run
Final Jeopardy
200
This surgeon, who is not even a tumor surgeon, described a classification system to predict pathologic fractures
Who is Mirel?
200
This pre-operative procedure can sometimes prevent massive bleeding when performing intralesional treatment for hypervascular tumors
What is pre-op embolization?
200
Name at least 2 factors that ABC's have that differentiate them from UBC?
ABCs are expansile (wider than physis), MRI shows fluid-fluid levels, on histology it is positive for USP-6
200
This syndrome is autosomal dominant and associated with multiple exophytic lesions arising from the bones
What is MHE?
200
The four resection types when approaching tumors
Intralesional - in the tumor
Marginal - through the reactive zone
Wide - with a negative cuff of normal tissue
Radical - the entire compartment
400
In addition to being one of the founders of orthopedic oncology in the US, he also has a staging system named after him, which is used to stage bone sarcomas (also sometimes called the Surgical Staging System)
Who is Enneking?
400
Compared to post-operative radiation, pre-operative radiation is associated with an increased rate of this complication
What are wound healing complications?
400
While histologically similar to osteoid osteoma, this tumor is often larger (>2cm), does not respond as well to NSAIDs, and tends to be progressive, requiring surgical management
What is osteoblastoma?
400
This syndrome is associated with polyostotic fibrous dysplasia, endocrine abnormalities, and cafe-au-lait spots
What is McCune Albright Syndrome?
400
Name at least 3 key biopsy principles
»Biopsy approach should be amenable to resection at the time of definitive local treatment.
-Longitudinal incision in line with planned resection by the surgeon doing the resection
-Drain in line with incision
»Minimize contamination of tissues:
-biopsy through one compartment (intramuscular)
-ensure tissue planes are not violated (to prevent fascial spread)
- Do not expose critical neurovascular structures
-meticulous hemostasis (any post-op ecchymosis/hematoma is considered contaminated)
-Approach should be as direct as possible
400
Category:
Hand Weenies
600
This author showed that biopsy by an outside surgeon increased the rates of complications and need for flap coverage
Who is Mankin?
600
This complication of doxorubicin is often the dose limiting factors in patients receiving chemo for osteosarcoma
What is cardiotoxicity?
600
This malignant primary bone tumor typically found in the tibia can often be confused with its benign counterpart, osseofibrous dysplasia (OFD)
What is adamantinoma?
600
When compared to a solitary enchondroma, enchondromas that occur with these two syndromes have an increased risk of malignant transformation over time
What are Ollier's (30%) and Maffucci (100%)?
600
Name at least 3 types of local adjuvant used in intralesional surgery
Argon Beam Coagulator
High Speed Burr
Cryo
Phenol
Ethanol
Electrocautery
PMMA
Hydrogen Peroxide
600
Name the following most common tumors of the hand:
Most common soft tissue sarcoma
Most common mass in the hand
Most common bone tumor in the hand
Most common benign soft tissue tumor in the hand
Most common cancer in the hand
Most common soft tissue sarcoma: epithelioid
Most common mass in the hand: ganglion cyst
Most common bone tumor in the hand: enchondroma
Most common benign soft tissue tumor in the hand: TGCT
Most common cancer in the hand: squamous cell carcinoma
800
The grading system named after this man describes the rate of tumor necrosis seen after resection of osteosarcoma
Who is Huvos?
800
According to Henderson et al, who described the 5 most common failure modes for megaprosthesis, this is the number one cause of failure in this group?
What is Infection?
tissue failures (Type 1)
aseptic loosening (Type 2)
structural failures (Type 3)
infection (Type 4)
tumor progression (Type 5)
800
While sometimes comfused with a sessile osteochondroma due to its "stuck on" appearance, this tumor is in fact a low grade malignancy which requires wide excision
What is Parosteal Osteosarcoma?
800
This syndrome is associated with multiple soft tissue myxomas and polyostotic fibrous dysplasia
What is Mazabraud syndrome?
800
This technique can be done instead of an above knee amputation for treating a sarcoma around the knee, creating a new knee joint with the ankle
What is Van Ness Rotationplasty?
1000
An Italian Orthopedic Oncologist, this surgeon described the technique which utilizes a bulk allograft combined with a free fibula to reconstruct a done defect after resection
Who is Capanna?
1000
Following effective treatment of osteosarcoma, what is the long term local recurrence rate? (range)
What is 4-10%?
1000
An epiphyseal lesion seen in an adult, this tumor (unlike giant cell tumor of the bone) is a malignant primary bone tumor requiring wide resection
What is Clear Cell Chondrosarcoma?
1000
This syndrome is characterized by LCH with multiple osseous and visceral mets, exopthalmos, and diabetes insipidus
What is Hand-Schuller-Christian Syndrome?
1000
When performing a proximal tibia replacement, this is often added onto the procedure to augment the extensor mechanism and improve coverage
What is a medial gastrocs flap?