The Bony Tumor in Children

Oleh :
Abdullah Al Azzam
Elvin Yuvira
Pembimbing:
Dr. Aswedi Putra, Sp. BO
The classification of bone tumor from
WHO 1972 :
• A tumor of origin bone tissue ( osteogenik )
• Benign : Osteoma
Osteoid osteoma
Osteoblastoma jinak
• Malign : Osteosarkoma
Parosteal osteosarkoma
Classification cont…..
• A tumor origin cartilaginous tissue ( kondrogenik )
• benign: enkondroma
osteokondroma
kondroblastoma benign ( codman tumor )
fibroma kondromiksoid
• malignant: kondrosarkoma
• A tumor origin connective tissue ( fibrogenik )
• benign: non ossifying fibroma
lipomas
• malignant: fibrosarkoma
liposarkoma
• tumor origin bone marrow ( mielogenik )
• malignant: Sarcoma ewing
Mieloma multiple
Sarcoma cells reticulum.
• Benign tumor from vascular:
• Benign: Hemangioma
Limfangioma
Glomus tumor
• Malign: angiosarkoma
• The other bones tumor:
• Benign: giant cells tumor
Neurofibroma
• Malignant : Adamantinoma
Malign Bone Tumor
Osteosarkoma
• Definition
Osteosarkoma is a ferocity derived from the primitive on the metafise cell
of the long bone on young people. Its establishment derived from osteoblast
series of the mesenkim primitive cell. Osteosarkoma is a malignant tumor
primary the most often with the bad prognosis.
Clinical symtoms
• The men were the most many rather than a woman was attacked with the
ratio of 2:1.
• Obtained especially at a young age, was 10-20 years old.
• The main complaint of patients is a feeling of ill in part of a bone affected
by accompanied the lumps.
• Obtained evidence fierceness common as anemia, and decreased of the body
mass index.
Location

• Acquired at metaphysical the bones of long especially on

the distal the femur, proximal the tibia and proximal of
the humerus.
• Radiologi :
• Obtained 3 kinds of the picture of radiology:
1. Osteolytic
2. Osteblastic
3. Mixed
• From Mri has found on the line destructor and found the resulting from the
process destructor and extension soft tissue of cell tumor.
Theraphy
• Amputation

Can be done through the bones of a tumor or through regional proximal joints
(disartikulasi ) proximal of a tumor
Prognosis
• In the beginning osteosarcoma had a bad prognosis from 5 years the survival
rate only 10-20 %. And now with the aggressive and intensive theraphy of
sitotastik has given pre-surgery and post surgery have the better survival rate
and increased 60-70%. Thanks to adjuvan therapy, now on the complete the
treatment of cancer centers, therapy non amputation or limb salvage more
often done.
Ewing Sarcoma
• Malignant tumor rarely obtained
• Attack the people of the young age members of the community, most under
the age of 20 years
• Acquired at men more than woman.
• Symptoms:
• Patients complain diseased with accompanied the lumps. The temperature of
patients who was high, leukocytocys, and rate blood increased.
• Location
• Diafisis of the long bones, most often in the femur, tibia, ulna and fibula
• Radiology
• Looked destructor the process with the absurd image.
• The formation of bone new reactive by the
periosteum layers that provides a description onion skin
or perpendicular open as sunburst.
• Differential Diagnosis
• Osteomielitis, osteosarcoma, and neuroblastoma metastatic cell.
• Theraphy
• Amputatiom
• Chemotheraphy
• Radiotheraphy
• Prognosis
• Bad. Mortalitas on years to yeras first after the diagnosis is expected to reach
around 95 % . But if this case use therapy a combination of radiotherapy ,
chemotherapy and operation the prognosis of to become a better.
Chondrosarcoma
• Is a malignant tumor composed of cells cartilages ( cartilages ) that can grow
spontaneous ( chondrosarcoma primary ).
• Has found age between 30-60 years.
• A neoplasm this growing rather slow and it only provided a little complaints.
• Neoplasm with slow metastase cell.
• Location: especially over the engraved as the pelvis and the scapula, but can
also acquired at a long bone as the femur and the humerus.
• Symtoms
• complaints are the tumor become a large with the slowly.
• Radiology
• Appears to be lesions metaphysical osteolitik in the middle of bone with
patches calcified derived of the matrix cartilages accompanied the process
destructor korteks, so that a tumor can seen extends to soft tissue around.
• Patology
• There seems the malignant cells of the lamellar in the bone marrow forming
cartilage. The mitosis cell not so much.

• Theraphy
• The operation of broad resection, and you can use amputation. Adjuvan
therapy as radiotherapy, chemotherapy does not help.
THANK YOU