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are benign bone tumors painful

by Gracie Hyatt MD Published 3 years ago Updated 2 years ago
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Benign tumors may be painless, but often they cause bone pain. The pain can be severe. Pain may occur when at rest or at night and tends to progressively worsen.

Specialist To Consult

While benign bone tumors typically stay in place and are unlikely to be fatal, they’re still abnormal cells and may require treatment. Benign tumors can grow and could compress your healthy bone tissue and cause future issues. Malignant tumors are cancerous. Malignant bone tumors can cause cancer to spread throughout the body.

Medication

This type of pain is usually characterized as burning, itching, or radiating. It’s also likely to be chronic, meaning that it is long-lasting. Pain from bone tumors can originate from within the bone. It can also be a result of the bone tumor pressing against nearby nerves or organs.

Procedures

Bone pain is the most common symptom of bone cancer. Some people experience other symptoms as well. Bone pain. Pain caused by bone cancer usually begins with a feeling of tenderness in the affected bone. This gradually progresses to a persistent ache or an ache that comes and goes, which continues at night and when resting.

Therapy

Symptoms of benign bone tumors include:

  • An obvious swelling or lump.
  • Pain, possibly severe, that increases in intensity. It may hurt even when you’re resting.
  • Breaks or fractures due to bones made weaker by a growing bone tumor.

Nutrition

How dangerous are benign bone tumors?

What does bone tumor pain feel like?

What are the painful symptoms of bone cancer?

What are the symptoms of a bone tumor?

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Do benign bone tumors cause pain?

Benign bone tumors are bone tumors that are not cancerous. These tumors may cause pain that gets worse and not better. Some benign bone tumors may need treatment to stop them from destroying bone. Other noncancerous bone tumors may require no treatment at all.

What does a benign bone tumor feel like?

Symptoms. A lump or swelling can be the first sign of a benign tumor. Another is ongoing or increasing aching or pain in the region of the tumor. Sometimes tumors are found only after a fracture occurs where the bone has been weakened by the growing tumor.

Is it normal for a benign tumor to hurt?

Benign soft tissue tumors may or may not cause pain and vary widely in appearance. If the tumor grows or causes pain, it should be assessed by a doctor.

How can you tell the difference between a benign and malignant bone tumor?

Benign lesions form in a bone and can grow locally but do not spread to other organs to cause harm. Malignant lesions, more commonly referred to as cancer, are lesions which may form and develop in the bone but have the capacity to spread to other areas of the body and continue to grow.

What percentage of bone tumors are benign?

Giant cell tumour of bone GCTs are usually benign (80%). However, recurrence after excision may occur in 20–50%, with 10% becoming malignant on recurrence [10].

Do benign bone tumors need to be removed?

Most bone tumors are benign (not cancerous). Benign tumors are usually not life-threatening and, in most cases, will not spread to other parts of the body. Depending upon the type of tumor, treatment options are wide-ranging — from simple observation to surgery to remove the tumor.

What is the most common benign bone tumor?

Osteochondromas are the most common, accounting for 30% to 35% of benign bone tumors. Giant cell tumors account for 20%, osteoblastomas for 14%, and osteoid osteomas for 12%.

Can an MRI tell if a tumor is benign?

Imaging is used not only for local staging but also to differentiate between benign and malignant lesions. MRI is the preferred imaging modality for the evaluation of soft-tissue masses in clinical practice.

Can a benign bone tumor turn cancerous?

Certain benign tumors can spread or become cancerous (metastasize). Sometimes your doctor may recommend removing the tumor (excision) or using other treatment techniques to reduce the risk of fracture and disability. Some tumors may come back–even repeatedly–after appropriate treatment.

Can a surgeon tell if a tumor is cancerous by looking at it?

Lumps that could be cancer might be found by imaging tests or felt as lumps during a physical exam, but they still must be sampled and looked at under a microscope to find out what they really are. Not all lumps are cancer. In fact, most tumors are not cancer.

How common are benign tumors?

In fact, many growths throughout the body are benign. Benign growths are extremely common, and more than 90 percent of breast tissue changes are benign. Benign bone tumors, similarly, have a higher prevalence than malignant bone tumors.

Is a bone tumor hard or soft?

It appears as a hard, painless, stationary lump at the end of a bone, with a cartilage cap that allows it to continue to grow. A surgeon can remove this tumor if it begins to cause pain or if the bone is in danger of fracturing.

Are tumors hard or soft?

In fact, tumors may feel hard from the outside, but research has shown that individual cells within the tissue aren't uniformly rigid, and can even vary in softness across the tumor. However, cancer researchers didn't understand how a tumor could be both rigid and soft at the same time, until now.

What is the most common benign bone tumor?

Osteochondromas are the most common, accounting for 30% to 35% of benign bone tumors. Giant cell tumors account for 20%, osteoblastomas for 14%, and osteoid osteomas for 12%.

Can a tumor be hard like bone?

Osteochondromas. Osteochondromas (osteocartilaginous exostoses), the most common type of noncancerous bone tumors, usually develop in people aged 10 to 20 years. These tumors are growths on the surface of a bone, which stick out as hard lumps. A person may have one or several tumors.

Do bone tumors hurt?

Most patients with a bone tumor will experience pain in the area of the tumor. The pain is generally described as dull and achy. It may or may not get worse with activity. The pain often awakens the patient at night.

What is a benign bone tumor?

Benign bone tumors include: Osteoblastomas, which affect children and adolescents. These tumors can be large, aggressive and painful. They are best treated by a multidisciplinary team of oncologists, orthopedic surgeons and pain management specialists. They sometimes cause spinal deformity and paralysis.

What are the most common types of bone tumors?

The most common ones are endochondromas, osteochondromas, nonossifying fibromas, chondroblastomas, osteoid osteomas, osteoblastomas, periosteal chondromas, giant cell tumors and chondromyxoid fibromas. Some conditions such as aneurysmal bone cyst, unicameral bone cyst and fibrous dysplasia are grouped with benign bone tumors. They often are treated in a similar way, although they aren't truly tumors.

What is the name of the tumor that causes pain at night?

Osteoid osteoma, which is a small bone tumor (smaller than two centimeters). It usually affects adolescents, causing pain at night. It may also result in spinal deformity. Treatment depends the tumor's size and location. Surgery may be necessary if spine stability is compromised.

How do you know if you have a tumor?

Symptoms. A lump or swelling can be the first sign of a benign tumor. Another is ongoing or increasing aching or pain in the region of the tumor. Sometimes tumors are found only after a fracture occurs where the bone has been weakened by the growing tumor.

When do bone tumors stop growing?

Many benign tumors stop growing once a child's bones do. This usually is between the ages 14 to 16 in girls and 16 to 19 in boys.

Where do bone tumors occur?

Most bone tumors are benign, and unlikely to spread. They can occur in any bone, but they usually are found in the biggest ones. These include the thighbone (fe mur), shinbone (tibia), upper arm bone (humerus) and pelvis. Some types are more common in specific places such as the spine or near the growth plates of the largest bones.

Can a tumor stop growing after a fracture?

The type of tumor, its size, its location and how old the individual is all affect treatment decisions. Some tumors will heal after a fracture. Others may stop growing if the patient is near maturity when the tumor is discovered. Still other tumors are only discovered when an X-ray is taken for another reason.

How Is A Bone Tumour Different From Bone Cancer?

Bone tumours are formed when living cells in the bone divide rapidly , forming a mass of tissue, entering a state of uncontrolled, inertial growth. Most tumours of the bone are benign, which means they are not cancerous and will not kill you. Such tumours do not metastasize, i.e. they do not spread to other areas of the body.

Can a bone tumour spread?

Abnormal tissues can displace healthy tissues, and technically a benign tumour can grow and compress healthy bone tissues, causing further symptoms. However, only a malignant (cancerous) bone tumour can cause cancer to spread throughout the body.

Can a benign bone tumor cause pain?

Answer: In cases of a Benign Bone tumour, most patients do not experience pain or any painful symptoms. They are just aware of the existence of a swelling/mass with no sensation. Bone tumours do not originate from injuries, but an injury to an existing bone tumour will cause immense pain. Such injuries can also cause fractures in bones that are already weakened by the tumour.

Can benign tumors spread to other parts of the body?

Answer: Benign tumours by design, are non-malignant i.e; cannot spread to other parts of your body like regular cancers. But in some cases, they may obstruct blood vessels, or press against other organs, creating symptoms that may confuse patients because they’re similar to cancerous symptoms.

What is a benign bone tumor?

Benign and Malignant Bone Tumors. A tumor is a lump or mass of tissue that forms when cells divide uncontrollably. For most bone tumors, the cause is unknown. A growing tumor may replace healthy tissue with abnormal tissue. It may weaken the bone, causing it to break ( fracture ). Aggressive tumors can lead to disability or death, ...

How do you know if you have a bone tumor?

Most patients with a bone tumor will experience pain in the area of the tumor. The pain is generally described as dull and achy. It may or may not get worse with activity. The pain often awakens the patient at night. Although tumors are not caused by trauma, occasionally injury can cause a tumor to start hurting. Injury can cause a bone weakened by tumor to break, which often leads to severe pain. Some tumors can also cause fevers and night sweats. Many patients will not experience any symptoms, but will instead note a painless mass. Medical history and physical exam: Tell the doctor your complete medical history. This includes any medications you take, details about any previous tumors or cancers that you or your family members may have had, and symptoms you are experiencing. Your doctor will physically examine you. The focus is on the tumor mass, tenderness in bone and any impact on joints and/or range of motion. In some cases, the doctor may want to examine other parts of your body to rule out cancers that can spread to bone.

How does bone cancer spread?

Malignant tumors can spread cancer cells throughout the body ( metastasize ). This happens via the blood or lymphatic system. Cancer that begins in bone ( primary bone cancer) is different from cancer that begins somewhere else in the body and spreads to bone ( secondary bone cancer ). The four most common types of primary bone cancer are:

What is the most common bone cancer?

Multiple Myeloma, the most common primary bone cancer, is a malignant tumor of bone marrow. It affects approximately 20 people per million people each year. Most cases are seen in patients aged 50 to 70 years old. Any bone can be involved. Osteosarcoma is the second most common bone cancer.

How often do you need to see a doctor for bone tumors?

These can confirm that the tumor is actually gone. You may need to have regular doctor visits and tests every few months. When the tumor disappears, it is important to monitor your body for its possible return (relapse).

What tests are needed to diagnose a tumor?

You may also require blood and or urine tests. If these tests are not adequate to diagnose your tumor, you may require a biopsy. A biopsy involves removing a sample of tissue from the tumor. The tissue sample is examined under a microscope. There are two basic methods of doing a biopsy.

Where is the bone tumor in Figure 2A?

Figure 2a: Shows a bone tumor in the middle of the femur exhibiting a combination of characteristics.

How to treat bone tumors?

Cryosurgery is another treatment possibility. This treatment involves killing cancer cells by freezing them with liquid nitrogen. A hollow tube is inserted into the tumor, and liquid nitrogen or argon gas is pumped in. In some cases, cryosurgery can be used to treat bone tumors instead of regular surgery.

What is the most common bone tumor?

According to the American Academy of Orthopaedic Surgeons (AAOS), the most common type of benign bone tumor is an osteochondroma. This type accounts for between 35 and 40 percent of all benign bone tumors. Osteochondromas develop in adolescents and teenagers.

What is a biopsy of a tumor?

Your doctor may want to perform a biopsy. In this test, a sample of the tissue that makes up your tumor will be removed. The sample is examined in a laboratory under a microscope. The main types of biopsies are a needle biopsy and an incisional biopsy.

Why is bone tissue so active?

This could be because a bone is growing, such as in young people, or it could mean a tumor is producing abnormal bone tissue. This test is more reliable in people who’ve stopped growing.

How is bone cancer treated?

Bone cancer is usually treated with surgery. In surgery, your entire tumor is removed. Your surgeon carefully examines the margins of your tumor to make sure no cancer cells are left after surgery. If your bone cancer is in an arm or leg, your surgeon may use what’s known as limb salvage surgery.

What test can be used to diagnose bone tumors?

A lab will analyze these fluids to detect different proteins that may indicate the presence of a tumor or other medical problems. An alkaline phosphatase test is one common tool doctors use to diagnose bone tumors.

How to get a tumor out of bone?

If a radiologist does the needle biopsy, they’ll use the image from the X-ray, MRI, or CT scan to help find the tumor and know where to insert the needle.

What percentage of bone tumors are benign?

Osteochondromas are the most common, accounting for 30% to 35% of benign bone tumors. Giant cell tumors account for 20%, osteoblastomas for 14%, and osteoid osteomas for 12%. All others are less common. Diagnosis mainly is via imaging; biopsy rarely is required.

Can bone tumors be detected on imaging?

Primary benign bone tumors are uncommon and most often affect children and young adults. They typically are detected incidentally on imaging, though some patients present with pain, swelling, or other symptoms.

Is bone tumor benign?

Bone Tumors: Benign Bone Tumors. Primary benign bone tumors are uncommon and most often affect children and young adults. They typically are detected incidentally on imaging, though some patients present with pain, swelling, or other symptoms.

Can osteoid osteoma be aggressive?

Others (eg, osteoid osteoma, aneurysmal bone cyst, simple bone cyst) can cause symptoms and require percutaneous ablation or surgery. Still others (eg, giant cell tumor, osteoblastoma) can be aggressive and require surgery and other therapies.

What are the symptoms of a bone tumor?

It may worsen at night and increase with activity. Other symptoms of a bone tumor can include fever and night sweats.

What is a bone tumor?

Bone Tumor. Bone tumors develop when cells within a bone divide uncontrollably, forming a lump or mass of abnormal tissue. Most bone tumors are benign (not cancerous). Benign tumors are usually not life-threatening and, in most cases, will not spread to other parts of the body. Depending upon the type of tumor, ...

What is the most common bone cancer?

Multiple myeloma is the most common primary bone cancer. It is a malignant tumor of bone marrow—the soft tissue in the center of many bones that produces blood cells. Any bone can be affected by this cancer. Multiple myeloma affects approximately seven people per 100,000 each year.

How do you remove a malignant tumor?

Generally, malignant tumors are removed by surgery. Often, radiation therapy and chemotherapy are used in combination with surgery.

What imaging is needed to diagnose a tumor?

Other imaging studies. If necessary, your doctor will order a magnetic resonance imaging (MRI), computerized tomography (CT), or bone scan to help further evaluate your tumor.

Can bone tumors be caused by trauma?

Although bone tumors are not caused by trauma, an injury can sometimes cause a tumor to start hurting. Injury can also cause a bone that is weakened by a tumor to fracture, or break. This may be severely painful.

Can a benign tumor be found on an x-ray?

Occasionally, benign tumors may be discovered incidentally when an x-ray is taken for another reason, such as a sprained ankle or knee injury.

What is the most common benign bone tumor?

The most commonly encountered benign tumor of bone is osteochondroma, which typically arises near the long ends of bones. Osteochondromas are often painful because of formation of bursae (small fluid-filled sac) overlying the lesion and/or tenting and irritation of overlying soft tissues. They can cause interference with neurovascular function due to tenting of such structures over the osteochondroma surface, and they have the potential for causing growth deformity in the involved and adjacent bones. Long-term complications are uncommon except for rare cases of dedifferentiation into chondrosarcoma. There is no estimate of the number of patients seen with nonoperatively managed osteochondromas due to lack of records. An annual US prevalence of >1,500 surgical cases is based on records kept by Dr. Ward; this is believed to be clearly underestimated. This estimate would not include cases treated by general orthopedic surgeons and pediatric orthopedic surgeons, who, in addition to orthopedic oncologists, provide medical and surgical treatment of many osteochondro mas.

What is a giant cell tumor?

Giant cell tumor of bone, with an estimated annual prevalence of more than 750 cases, is the third most commonly encountered benign bone neoplasm and accounts for significant disability and dysfunction. This typically occurs near the end of the long bones, most commonly the lower femur or upper tibia, and causes destruction of the bone. The tumor may extend through the cortex of the bone into the soft tissues and, if large enough prior to treatment, can be associated with pathologic fracture of the involved bone. Smaller tumors can be treated with bone resection and reconstruction with bone grafts or cement filler. Cases that are more complicated require sophisticated reconstruction with massive joint replacements and/or massive allografts which can cause severe long-term disability. On rare occasions, giant cell tumors metastasize to the lungs. In such cases, they typically respond poorly to chemotherapy and may cause death. These tumors are rarely treated by general orthopedic surgeons. Although currently not considered the standard of care, many patients' tumors have had excellent responses to denosumab treatment, a monoclonal antibody directed against RANK ligand, the activator of osteoclasts (giant cells). This is very similar to the mechanism of action of bisphosphonates. Initial studies with denosumab have shown a very favorable response in many tumors so treated but presently, even with denosumab pretreatment, surgical resection appears to be ultimately required. Current research continues and with enhanced understanding of the underlying pathogenic mechanisms, nonsurgical management may become possible in the future.

What is the fourth tumor that requires surgery?

A fourth commonly encountered tumor that may require surgery is enchondroma, estimated at more than 725 annual surgical cases. Bones typically form as cartilage during the embryo stage of human development, and this cartilage model ultimately converts into bone structure. The cartilage-based growth plates add length to the bones from bone growth. Enchondromas are tumors derived from remnants of these cartilaginous tissues that abnormally remain in the skeleton as remnants or nodules from the normal pattern of maturation and development. If these achieve sufficient size, they can cause cortical bone erosion and pain or fracture and may present diagnostic challenges requiring biopsy. They often require treatment by curettage and bone grafting. These lesions can dedifferentiate into malignant cartilage tumors called chondrosarcomas. Many small enchondromas are seen incidentally, cause no symptoms, and are treated with simple observation, thus, total incidence of enchondromas is much higher than calculated from extrapolation of the surgical data. In addition, the burden of enchondromas requiring surgical treatment is very conservatively estimated, as many are treated by general orthopedic surgeons, pediatric orthopedic surgeons, and hand surgeons.

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Diagnosis

Symptoms

Treatment

After Treatment

Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Most of the benign tumors cure on its own. Treatment for cancerous tumor is based on the type of cancer, the stage of cancer, overall health of the patient and their preferences.
Specialist To Consult

Primary care physician

Specializes in the acute and chronic illnesses and provides preventive care and health.

Oncologist

Specializes in the diagnosis and treatment of cancer.

Medication

Chemotherapy: Involves intravenous administration of chemicals to kill the cancer cells.

Vincristine . Ifosfamide . Doxorubicin . Etoposide . Methotrexate

Procedures

Limb salvage surgery: Part of the cancerous bone is removed and replaced with metal.

Amputation: Performed if tumors are very large or located in a complicated point on the bone.

Therapy

Radiation therapy:Involves the usage of high powered beams of energy like X-rays to kill the cancerous cells.

Nutrition

Foods to eat:

  • High protein food like milk and milk products, eggs, meat, fish, beans, legumes, and nuts
  • High calorie food like butter and margarine, sweets
  • High fiber foods such as whole grain bread and cereals
  • High fibre foods such as whole grain bread and cereals

Foods to avoid:

  • Foods rich in fatty acid likes cheese and fruit cakes
  • Caffeinated beverages like tea or coffee
  • Spicy foods
  • Salt intake should be lessen
  • Alcoholic beverages

Research on The Horizon/What's New?

1.Benign Bone Tumors: Common Types, Symptoms

Url:https://my.clevelandclinic.org/health/diseases/16775-benign-bone-tumors

19 hours ago These tumors can be large, aggressive and painful. They are best treated by a multidisciplinary team of oncologists, orthopedic surgeons and pain management specialists. They sometimes …

2.Bone Tumors (Benign) | Cedars-Sinai

Url:https://www.cedars-sinai.org/health-library/diseases-and-conditions/b/bone-tumors-benign.html

17 hours ago Aneurysmal Bone Cysts: These tumors tend to affect children and younger adults, return (recur) after treatment, and cause the bones in the arms, legs, trunk, or skull to expand dramatically. …

3.Benign and Malignant Bone Tumors | UConn …

Url:https://health.uconn.edu/msi/clinical-services/orthopaedic-surgery/bone-tumors-and-oncology/benign-and-malignant-bone-tumors/

31 hours ago Abstract. Primary benign bone tumors are uncommon and most often affect children and young adults. They typically are detected incidentally on imaging, though some patients present with …

4.Benign Bone Tumors | Symptoms and Treatment

Url:https://www.medstarhealth.org/services/benign-bone-tumors

21 hours ago Patients with a bone tumor will often experience pain in the area of the tumor. This pain is generally described as dull and aching. It may worsen at night and increase with activity. Other …

5.Bone Tumor: Types, Causes, and Symptoms - Healthline

Url:https://www.healthline.com/health/bone-tumors

23 hours ago Supporting Author (s): The most commonly encountered benign tumor of bone is osteochondroma, which typically arises near the long ends of bones. Osteochondromas are …

6.Bone Tumors: Benign Bone Tumors - PubMed

Url:https://pubmed.ncbi.nlm.nih.gov/32573182/

31 hours ago  · Are bone sarcomas painful? The earliest symptoms of bone sarcoma are pain and swelling where the tumor is located. The pain may come and go at first. Then it can become …

7.Bone Tumor - Types and Treatments - OrthoInfo - AAOS

Url:https://orthoinfo.aaos.org/en/diseases--conditions/bone-tumor

14 hours ago

8.Benign Tumors of Bone | BMUS: The Burden of …

Url:https://www.boneandjointburden.org/fourth-edition/via41/benign-tumors-bone

21 hours ago

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