Doctor insights on:
What Is The Difference Between Osteosarcoma And Osteochondroma
Sarcs are malignant: Osteosarcoma is a cancer starting in bones, most commonly in children/young adults, while osteochondroma is a non-cancerous bony spur, most often occuring in teenagers. Osteochondromas usually need no treatment and are only followed, while osteosarcomas require agressive treatment, often including chemotherapy, radiation therapy and surgery; the prognosis has improved a great deal recently. ...Read moreSee 1 more doctor answer
Benign vs cancer: Osteochondromas are the most common form of non-cancerous bone tumors, usually look like they are growing on the bone surface, and do not spread beyond the affected bone. Osteogenic sarcomas are aggressive cancerous bone tumors that typically cause destruction of the involved bone as well as producing new bone in a haphazard fashion. ...Read more
Both bone cancers: They are both bone cancers, but look somewhat differently under the microscope. Osteosarcoma is more common and generally presents in adolescents and young adults. Chondrosarcoma presents later usually. Treatment for osteosarcoma involves chemo and surgery whereas for chondrosarcoma is surgery and chemotherapy is controversial. ...Read moreSee 1 more doctor answer
How do you know if somebody has osteochondroma or osteosarcoma? Do you have to wait for biopsy results?
Almost never: Osteochondroma and osteosarcoma look very different on x-ray, ct and mri. Osteochondroma can be confidently diagnosed with imaging alone. There is <1% chance of an osteochondroma turning into a chondrosarcoma. In that rare event, it's usually a low grade one that almost never spreads. For osteosarcoma, there is usually strong suspicion based on imaging, but a biopsy is needed to confirm. ...Read moreSee 1 more doctor answer
Different cancers: These are two different types of cancer that occur in bones of young people. The locations in the body where they usually occur are different. Osteosarcoma is usually at knee or shoulder while ewing's is in thigh bone or pelvis. The chemotherapy used is different. Ewing's, unlike osteosarcoma, responds very well to radiation. Overall survival and metastasis rate is about same for both. ...Read moreSee 1 more doctor answer
What is the difference between a fibroma and osteochondroma?Location is below the knee and looks a lump inside the leg and is painless.What can it be?
Bone vs. soft tissue: Lesion if palpable most likely soft tissue in origin and can be defined on MRI. Osteochondroma is an osseous lesion where fibroma usually soft tissue and can arise from any fibrous tissue site in lower leg such as tendon or fibrous tissue between muscle planes. Bx makes the required dx for treatment ...Read more
Yes, from treatment: Osteosarcoma is an aggressive bone tumor treated with chemotherapy, radiation, and surgery. The intense treatment can cause later problems, including bone fractures and osteoporosis, neuropathy, loss of fertility, chronic pain, neuropathy, and changes in cognitive abilities. Secondary cancers can develop in the areas where radiation was received. ...Read more
You usually can't: Osteosarcoma is a very rare cancer. Of 300 million people in the us, there are about 800 cases a year. Usually it occurs randomly, but rare cases are due to genetic disorders, preexisting benign conditions (paget's etc.) or radiation. Other than avoiding radiation, there is not much you can do. That being said, the chances of getting osteosarcoma in the first place are very low. ...Read moreSee 1 more doctor answer
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