What symptoms will osteosarcoma cause in children

What symptoms will osteosarcoma cause in children

Osteosarcoma is common in young people. Many people become very depressed after getting osteosarcoma because they cannot go to school like normal children, which affects the children's mental health. In fact, if you know the symptoms of osteosarcoma in your child early, this disease can be cured in the early stage. So what symptoms will osteosarcoma cause in children?

Pain is an early symptom and may occur before the tumor appears. It is intermittent at first and gradually turns into continuous severe pain, especially at night. Pain of large malignant tumors occurs earlier and is more severe. There is often a history of local trauma. The tumor is large near the joint of the bone end, with varying hardness and tenderness. The local temperature is high, the veins are dilated, and sometimes pulsation can be felt. There may be pathological fractures. The overall health gradually declines to failure. Most patients have lung metastasis within one year.

Clinically, it often occurs in adolescents, with less involvement of the mandible and more involvement of the maxilla, and a history of injury. The early symptoms are intermittent numbness and pain in the affected area, which then turns into persistent severe pain accompanied by reflex pain; the tumor grows rapidly, destroying the alveolar process and jaw, causing tooth loosening, displacement, facial deformity, and pathological fractures, which appear as irregular destruction on X-rays. Those that expand from the inside to the outside are osteolytic; those that destroy the cortical bone and are replaced by hyperplastic bone in a solar-radiating arrangement are osteoblastic. A mixed type with both of the above types can also be seen clinically. In the late stage, serum calcium and alkaline phosphatase may be elevated in patients, and the tumor is easily metastatic to the lungs along the bloodstream.

The course of the disease varies in length, ranging from a few days to several years from the onset of symptoms to medical treatment, with an average of 3 to 4 months. The most common site is around the knee joint. The earliest clinical symptom is pain, which is mostly dull and persistent. The pain worsens after activity and is more obvious at night. A lump appears in the affected area, and the growth rate of the lump is often measured in months. When the lump increases significantly, reactive effusion may occur in the adjacent joints, and joint movement is restricted.

Warm reminder: Early pain often occurs suddenly after a minor injury. The swelling is mild at first and then gradually worsens. It is an eccentric spindle-shaped swelling. The hardness of the lumps varies depending on the texture of the tumor. Osteolytic lesions are softer than osteoblasts. The skin of the affected area is shiny, the surface veins are dilated, and the skin temperature is increased. If the tumor is large and adjacent to the joints, it may affect the joint function.

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