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PATHOPHYSIOLOGY OF OSTEOSARCOMa

Modifiable NON Modifiable


Smoker Age 10-25
injury Male
Teenage growth spurt
DNA mutation

Activate oncogene

Malignant osteoblast

Proliferation of abnormal osteoblast

Formation of osteoid tissue

Uncontrolled growth of tumor

Overcrowding to bones

Increase pressure on affected


Suppression bon Metastasize cancer cells
Destroy bone tuberculae To different organs
Tumor arise in metaphysis and growth
is More active Decrease production bloo

Damage periosteum Decrease production RBC


(anemia ) WBC (decrease
resitance to infection)
Extend to medulla and periosteal area

Destroy bone tuberculae

Damp medullary canal bec. Formation


mass

KIDNEY CNS LIVER/


lungs spleen
Disturbances renal
Impaired circulation Invaded cancer Invaded cancer
No urine output/ leokocytes cells cells
less urine
Flank pain compression Bronchial Inflammation
leokocytes destruction bleeding
Renal failure lethargy weakness hypoxia hepatomegaly
Blussred vision
Cough, sneeze,
coma DOB,chest pain

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