Bone Tumors (Benign vs. Malignant)

[@amandanwaopara]

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!!

[@fallopiogeorgio1626]

I'm just a simple guy. I see a Dirty Medicine video. I watch it. Thank you my dude

[@armin7855]

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)

[@OykuInanc]

thanks!

[@uzairmunafMD]

half way through the video, and just want to say one thing, I love you

[@anita26069]

For osteosarcoma: Page boy Metodi Fraumeni gets a Sunburst into his eyes M. Paget, Boys, Methaphysis, Li-Fraumeni Syndrome, Sunburst appearance, Eyes = RB

[@osullivan9976]

Osteo-v-lastoma: found in vertebra Osteoid osteoma: has -ID in it, so NSAID responsive. thanks d

[@vojtechmuller3270]

I have nothing to do with medicine or biology but I still find it pretty fascinating..

[@sdiofjsoidjf]

Nice you avoided all the student loans.

[@nihalmohammed6674]

😂😂😂😂​@@sdiofjsoidjf

[@assamra]

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 ;)

[@MarinaAli]

Absolutely love your mnemonics. I feel like I can read First Aid and Pathoma but it won’t stick til I watch your videos!

[@galazio8123]

"dont drop the soap or else you will get a giant suprise " LAMO

[@ZeePark21]

The peak moment of dirty medicine 😌

[@Ahmadplusabdullah123]

what does it mean though?? English is my second language , could you mind to explain it to me please.

[@galazio8123]

@@Ahmadplusabdullah123 ما يحتاج يا شيخ عمار

[@Ahmadplusabdullah123]

@@galazio8123 can you say it in English please

[@galazio8123]

@@Ahmadplusabdullah123 it is better not to know it’s dirty

[@nimraaslam3310]

superrrr helpful and informative, being a med student nothing is more relieving than getting a gud teacher , thankuh Sir

[@Anonymoususer098]

Remember! Homer Wright pseudorosettes are found in pNET(primitive neuroendocrine tumor), which includes Ewing's Sarcoma

[@ahmadharb13]

" Don't drop the soap or you're in for a giant surprise " LOL

[@JonPicoCokeJones]

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.

[@hectic_het]

How long is the waiting period?

[@JonPicoCokeJones]

@ it was diagnosed in March of 2024 and the surgery took place in July. This was under the Canadian health care system.

[@hectic_het]

@@JonPicoCokeJones free of cost?

[@JonPicoCokeJones]

@@hectic_het Yes the entire process didn’t cost me a single dollar. From all the doctor visits to MRI’s and X-Rays and finally the surgery. I purchased crutches for $18 from the hospital though as I couldn’t walk for two days.

[@hectic_het]

@@JonPicoCokeJones That's great. So all these social media posts of Canadian and US healthcare collapse are over reactions . Still in India all these processes you could have done in a week or shorter.

[@nadiaaddasi]

God bless you so much for this video. Seriously.

[@karledvarddanastor5143]

You’re the Goat 🐐. Thank You 🙏🏾

[@theovercomer7032]

Sa a klè wi!

[@yoyamuawia3520]

The soap mnemonic made my scream laughing 😭😂I’ll never forget this thank you 🙏

[@MissMega75]

Amazing video, really helped me mentally sort everything out, thank you!!

[@xoxors13]

This is life-saving!! Thank you so much!

[@chiagochilagorom2206]

Thank you for the video❤

[@kayallen7603]

Females

[@djlilzay7973]

thank you for reuploading this!!!

[@skhumbuzodladla1457]

This was amazing. now I feel confident with the exam I'll be writing on Monday. (today is Saturday)😊😊😊😊

[@johnspikesii4223]

Hope you do great. God bless!

[@rudyluna857]

Thank you! Also remember giant cell tumor is the only one that presents on epiphysis!

[@priyazmishra2680]

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

[@pathoslogos1784]

Bone tumors that arise in the epiphysis: giant cell tumor, clear cell chondrosarcoma & chondroblastoma

[@The_Kirk_Lazarus]

Rudy Luna, you need to modify your comment.

[@CP-ov8sd]

you could also just say "osteoSUNcom" for sunburst appearance of osteosarcoma!

[@MDPowerhouse]

Really great review on Bone Tumors!

[@NikkiHjorth]

I have been diagnosed with having a bone tumour on my right ankle after rolling my ankle walking back to my car.

[@DrImah-qb9ku]

You are the best...studying has become easy since I met you😘

[@rafisarhandi5626]

for Osteoid Osteoma-> think of a guy in relief after pain(response to NSAIDs) saying "Ohh Ohh" /sigh of relief

[@JonPicoCokeJones]

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!!!!

[@yanashak3402]

Also Osteoid I think steroid and think NSAID

[@fathimamusthafa5179]

It's really amazing sir 👏thank you for making the bone tumor more easy ✨

[@pranali8456]

Thanks ❤❤❤❤❤❤

[@stevebradford3939]

you did a 3 hour lecture in 14:35 min what do we do for the remainder of our time.

[@zacman9966]

I expected you to go with "OsteoSUNcoma" but nope right to "Suckoma" lolol

[@alih6953]

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

[@giovanafrederico]

Your videos have been sooooo helpfull! But the 'malignant' tumors not being the red colored ones is INSANE to me lol

[@edithjemutai6065]

😂

[@fatimaasad4394]

Exactly

[@BarelySaneGenius]

I wasn’t gonna say it… lolol

[@evanhanoun]

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

[@yanashak3402]

For sunburst I remember that the sun burst and it blasted your eyes (retinoblastoma)

[@moob2020]

Thanks great vid . I think chondrosarcoma is kinda high yield because I've seen it in multiple Qbanks (especially it's histology)

[@eyad81999]

yes it's .. actually I think it's the most high-yield bone tumor

[@waqarqazi7292]

Speaking of bony mnemonics "Don't drop the soap or you will get a giant surprise"

[@SN-qt8zk]

Chon=cartilage, most common OsteOOMA in GARDen Osteoid osteOHma=oh, that feels good OsteoBlasted with pain Drop SOAP, u will get GIANT surprise

[@muneebtakesmedicine]

damn that last one had me XD

[@beratakn6007]

ew, an onion

[@ahmedyousuf1789]

He said not to drop it 😂

[@kyleavery7776]

amazing video- in med school now and this was better the lectrues here!

[@ms.s9811]

Thank you, I had trouble with this topic before!

[@thepuzzledgoddess]

Curious why only info on chondrosarcoma is pelvis and no photos, thanks

[@atharvavankhande8906]

Codmans triangle (between cortex and raised end of periosteum) in osteosarcoma xray.

[@monikasangam967]

Thankss for this lecture ,much helpful

[@hafsamohamed9080]

Amazing video and educative

[@sakthivelkanagaraj143]

Having university exams in 4 days ❤

[@Bru1659]

Kl Hai mera 😂😢

[@lovly2cu725]

i had anosteoid osteoms in 1991 from hitting my tailbone in gym class in 1970

[@priyamoorthy8098]

Thankkkssss for the simplification ❤

[@balaseshathirim9248]

Excellent 👍👌❤❤❤

[@sabzzz444]

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

[@sharalmariafernandes6808]

There are three parts of bone Epiphysis nearest to joint Metaphysis between epiphysis and diaphysis Diaphysis is shaft. What you are talking about is epiphysial plate /growth plate which is not present in adults but is present in child between epiphysis and metaphysis

[@DrSeaLionMD]

I always think of osteosarcoma as osteoSTARcoma

[@passionfruit3968]

May you be guided to paradise, thank youuu🤍

[@DannyMercer1993]

oste - oooooooooooh - ma 🎶

[@muskaanmemon8475]

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!!

[@herolal8090]

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

[@mingmingandmikki]

I cannot even begin to phatom his mnemonics on this one XD

[@cirusshiran1632]

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)!

[@sxli3340]

video on different disorders of sex chromosomes such as Turner and Klinefelt

[@akshunavaishnav9648]

Thanks for the information

[@KatiKosta]

Is there a video on autoimmune diseases?

[@krienbergproductions8844]

Thank you !

[@loflobro]

Osteosarcoma looks more like a firework than a sunburst on the X-ray

[@yashpawate1306]

Great video. Thank you !!

[@tsiontesfaye6822]

That was helpful. Thanks a lot

[@christinacubillo3037]

THANK YOU.

[@nondescript4311]

really cool video!! it's precise

[@Anuanu-uc5bq]

0:55,5:30,7:13,11:00,11:50

[@syedhasanraza2334]

super amazing brother, u are so brilliant

[@lizzonthego7069]

Can the benign tumors turn malignant?

[@kayallen7603]

sarcoma = malignant, in this case

[@abhinavmaharaj4804]

In any case , that hold true . Sarcoma means malignant connective tissue tumor

[@CVinMD]

B&B states Ewing Sarcoma is typically in the metaphysis, does it vary?

[@kshitijgiripunje7253]

Thankyou so much for great video,it helped me alot.

[@Sunshine-zp8eg]

Finally may be not smart enough to remember all but I won't forget their name for sure 🥺🥺🥺🥺🥺

[@sosohmz4239]

A LIFE SAVER !!!

[@jeminanarvaez7035]

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

[@jeminanarvaez7035]

And great video!

[@stablack3564]

Thx, it's much better than his mnemonic.

[@garrettmorgan9926]

OO that does feel better! Thanks!!!

[@sushmita4608]

Thanks a lot!!!

[@DRASJADSIDDIQUI]

Thank you so much brother 😌

[@CrashyBird]

Thank you so much for making this video!!

[@kismath6294]

Thank you

[@harshu9302]

God❤ you’re a lifesaver

[@Nghoni]

Amazing!

[@rrastrinurazizahutama7145]

it's so good, thanks a lot

[@levihoffman4161]

this is gold!!!

[@herolal8090]

Bro when i have enough i will seriously donate you 1000$. Wish me luck. Exam is in feb.

[@DirtyMedicine]

Good luck!!! You will crush it my friend

[@herolal8090]

@@DirtyMedicine thanks man. U have helped alot. Do you accept bitcoin?

[@ahmadcheema7198]

Thank you ☺️

[@xergisolutions6566]

What about benign lytuc lesion … can I still Workout with this condition

[@Krismak2003]

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

[@cabdiraxmaanmaxamed5270]

Thank you sir.

[@iscobaby]

this was great!

[@azouz5675]

why the Bone expanse by tumors or cyst ? is it hard ?

[@diegoalvarezc.8236]

That traslocation 11+22 = 33 Patrick Ewing reference seems familiar

[@DirtyMedicine]

Yeah everybody knows this reference

[@diegoalvarezc.8236]

@@DirtyMedicine But not everybody uses that, osteoooooooma in the GARDen. Very High Yield.

[@carolannburke5450]

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

[@siavashkhazali5842]

onion and wings easier to remember!

[@dina4220]

amaaaaazzzzzingly amazing

[@Archiescarr_020]

Amazing ❤

[@noornoor-yv8tu]

u r awesome .thank u💚

[@Abi-vg5oj]

Perfect 🥰 tq a lot

[@itwillbebrightsoon3915]

well done !!

[@aminakhan4321]

splendid vedio

[@guccigirl3158]

THANK YOU SO MUCHH!

[@xaaboopinkly]

Thanks sir!