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Review Question - QID 3434

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QID 3434 (Type "3434" in App Search)
Paget's disease may predispose a patient to the development of which of the following malignant neoplasms?

Chondrosarcoma

4%

127/3455

Osteosarcoma

52%

1789/3455

Spindle cell sarcoma of bone

3%

92/3455

All of the above

37%

1288/3455

None of the above

4%

147/3455

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Patients with Paget's disease are predisposed to secondary osteosarcoma, chondrosarcoma, and spindle cell sarcoma of bone (e.g. fibrosarcoma) all which can occur through Pagetoid lesions.

Huvos describes their clinical analysis of 117 patient older than 60 years of age with osteoarcoma and found that this population developed sarcomas more frequently related to other preexisting bone conditions, such as Paget's disease or following irradiation. Five-year survival for this patient cohort was related to the development of primary (37%) vs. secondary osteosarcoma associated with other skeletal conditions (7.5%).

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