Chondrosarcoma physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Rohan A. Bhimani, M.B.B.S., D.N.B., M.Ch.[2]
Overview
Patients with [disease name] usually appear [general appearance]. Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3].
OR
Common physical examination findings of [disease name] include [finding 1], [finding 2], and [finding 3].
OR
The presence of [finding(s)] on physical examination is diagnostic of [disease name].
OR
The presence of [finding(s)] on physical examination is highly suggestive of [disease name].
Physical Examination
Physical examination of patients with chondrosarcoma is usually remarkable for swelling, tenderness, and decreased range of motion.
Appearance of the Patient
- Patients with chondrosarcoma usually appear lethargic and emaciated.[1]
Vital Signs
- Vital signs are generally within normal limit, but patients with metastasis may present the following vital signs:[2]
- Low-grade fever
- Decreased SPO2
- Tachypnea
- Tachycardia
- Low blood pressure
Skin
- Skin examination of patients with chondrsarcoam is usually normal, but patients with metastasis may present the following:
HEENT
- HEENT examination of patients with chondrosarcoma include:[1]
- Icteric sclera
- Palpable mass if chondrosarcoma arises from skull
- Tenderness
Neck
- Neck examination of patients with chondrosarcoma is usually normal, but patients with metastasis may present the following:
Lungs
- Pulmonary examination of patients with chondrosarcoma is usually normal, but patients with lung metastasis may present the following:[2]
- Decreased chest expansion
- Lungs are hyporesonant
- Decreased or absent breath sounds
Heart
- Cardiovascular examination of patients with chondrosarcoma is usually normal.
Abdomen
- Abdominal examination of patients with chondrosarcoma is usually normal.
Back
- Back examination of patients with chondrosarcoma is usually normal
- However, chondrosarcoma arising from pelvis may cause bowel obstruction leading to tender abdomen.
Genitourinary
- Genitourinary examination of patients with chondrosarcoma is usually normal.
However, chondrosarcoma arising from pelvis may cause bowel obstruction leading to tenderness in lower abdomen and urinary incontinence.
Neuromuscular
- Neuromuscular examination of patients with chondrosarcoma is usually normal.
Extremities
References
- ↑ 1.0 1.1 Lex JR, Evans S, Stevenson JD, Parry M, Jeys LM, Grimer RJ (2018). "Dedifferentiated chondrosarcoma of the pelvis: clinical outcomes and current treatment". Clin Sarcoma Res. 8: 23. doi:10.1186/s13569-018-0110-1. PMC 6293503. PMID 30559960.
- ↑ 2.0 2.1 Raymond E, L'Her P, Jeanbourquin D, Schill H, Jancovici R, Daly JP; et al. (1993). "[Chondrosarcoma of the thoracic wall. Review of the literature apropos of 4 cases]". Rev Pneumol Clin. 49 (1): 19–25. PMID 8378694.
- ↑ Peabody, Terrance (2014). Orthopaedic oncology : primary and metastatic tumors of the skeletal system. Cham: Springer. ISBN 9783319073224.
- ↑ Czerniak, Bogdan (2016). Dorfman and Czerniak's bone tumors. Philadelphia, PA: Elsevier/Saunders. ISBN 9780323023962.
- ↑ Weber KL, Raymond AK (2002). "Low-grade/dedifferentiated/high-grade chondrosarcoma: a case of histological and biological progression". Iowa Orthop J. 22: 75–80. PMC 1888368. PMID 12180616.