A parent brings a 10-year-old child to the clinic, reporting that the child fell while playing and now has a limp several days later. In completing a history, which other finding would the nurse correlate more with bone cancer than a minor trauma?
A.
Decreased appetite for the last month
B.
Fatigues easily when playing outdoors
C.
Limping several weeks prior to the fall
D.
Often has unexplained extremity bruises
ANS: C
Pain and swelling are the most common manifestations of osteosarcoma. Often the child has a limp. The child also may have a dull pain at the tumor site, and if it is on a leg (weight-bearing), it could easily cause a limp that has lasted for several weeks before really being noticed. The other manifestations are vague and could be related to other problems.
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