While explaining to a group of nursing students the difference between benign and malignant bone tumors, the instructor will emphasize that a benign tumor: Select all that apply
A) Is associated with constant, deep aching pain that does not go away with rest
B) May be asymptomatic and detected incidentally
C) Is a painful mass that is detected on a long bone and seems to be increasing in size
D) May cause the client to have a pathological fracture
Ans: B, D
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There are three major manifestations of bone tumors: pain, presence of a mass, and impairment of function. Although benign tumors are frequently asymptomatic and are detected as an incidental finding, malignant tumors are associated with constant, deep aching pain that does not go away with rest and is present at night. A mass or hard lump may be the first sign of a bone tumor. A malignant tumor is suspected when a painful mass exists that is enlarging or eroding the cortex of the bone. Benign and malignant tumors may cause the bone to erode to the point where it cannot withstand the strain of ordinary use. A sudden increase in pain followed by trivial trauma that is preceded by a history of mild, dull aching pain is suggestive of a pathologic fracture.
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