Orthopedics · Bone Tumors (Benign and Malignant)

Excluding plasma cell myeloma, which is the most common primary malignant tumour of bone?

  • A Ewing sarcoma
  • B Chondrosarcoma
  • C Osteosarcoma
  • D Primary bone lymphoma
Correct answer: C. Osteosarcoma

Explanation

Plasma cell myeloma is the most common primary malignant bone tumour overall, followed by osteosarcoma in second place. Osteosarcoma peaks in adolescence around the knee but has a documented second peak in elderly patients with pre-existing conditions such as Paget disease or prior irradiation. Chondrosarcoma ranks third and affects an older age group, while Ewing sarcoma is far less common than both.

Reference: Robbins and Cotran Pathologic Basis of Disease, 10th ed.

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