1. Tumour And Tumour Like Conditions of Bone l benign tumours are common l the most common malignant bone tumour are secondary metastasis l second most common malignant bone tumours are haematogenous l primary malignant tumours are rare

2. Metastatic Bone Tumours l breast l bronchus l kidney l prostate l thyroid l GI

3. Haematogenous Bone Tumours l plasmacytoma l multiple myeloma l eosinophilic granuloma l lymphoma l leukaemia

4. Bone Cysts l simple bone cyst l fibrous dysplasia l aneurysmal bone cyst

5. Benign Bone Tumours l osteoma l osteoid osteoma l osteochondroma l enchondroma

6. Benign Bone Tumours chondromata

7. Malignant Bone Tumours l osteosarcoma l Ewing’s sarcoma l chondrosarcoma

8. Bone Tumours Clinical Presentation l asymptomatic l pain l swelling l history of trauma l neurological symptoms l pathological fracture

9. Bone Tumours Imaging l solitary or multiple lesions? l what type of bone is involved? l which part of the bone is involved? l are the margins of the lesion well defined? l is there bony reaction? l does the lesion contain calcification?

10. Bone Tumours Differential Diagnosis l haematoma l infection l stress fracture l myositis ossificans l gout

11. Bone Tumours Treatment chemotherapy radiotherapy tumour excision limb salvage surgery amputation