Surgery MCQ 198

A 16-year-old adolescent presents with localized bone pain and swelling in the left knee. The clinician suspects a bone tumor and considers various types of bone tumors based on the patient’s age and presentation. The clinical team aims to determine the most common type of bone tumor to guide diagnostic and treatment plans.

What is the most common type of bone tumor?

A. Giant Cell Tumor  
B. Osteoid Osteoma  
C. Osteosarcoma  
D. Epiphyseal Tumor  
E. All are incorrect


The Correct Answer is: C. Osteosarcoma

Explanation:

– Osteosarcoma (C): Osteosarcoma is the most common primary malignant bone tumor, particularly in adolescents and young adults. It typically arises around the knee or the distal femur and is characterized by aggressive behavior. Osteosarcoma is the most frequent bone tumor overall, in terms of malignant bone tumors.

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Explanation of Incorrect Options:

– Giant Cell Tumor (A): Giant cell tumors are benign but locally aggressive tumors often found around the knee, typically in young adults. They are not the most common bone tumor overall.

– Osteoid Osteoma (B): Osteoid osteoma is a benign bone tumor that usually affects adolescents and young adults. It is less common than osteosarcoma.

– Epiphyseal Tumor (D): Epiphyseal tumors, such as certain types of giant cell tumors or chondroblastomas, are relatively less common compared to osteosarcoma. 

– All Are Incorrect (E): Since osteosarcoma is the most common primary malignant bone tumor, this option is incorrect.
In summary, osteosarcoma is the most common primary malignant bone tumor, making option C the correct answer.