Question 2228
{"accessible":false,"alternatives":[{"id":11033,"text":"fracture"},{"id":11034,"text":"growth after skeletal maturity"},{"id":11035,"text":"new lucency"},{"id":11036,"text":"pain"},{"id":11037,"text":"thickened cartilage cap above 1.5 cm"}],"archived":false,"correctAlternativeId":11033,"explanation":"\u003cp\u003eFracture\u0026nbsp;of an osteochondroma is usually the result of trauma and not considered a sign of malignant transformation.\u003c/p\u003e\u003cp\u003eFeatures that should raise the possibility of malignant transformation\u0026nbsp;can be remembered with the\u0026nbsp;mnemonic \u003cstrong\u003eGLAD PaST\u003c/strong\u003e:\u003c/p\u003e\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eG:\u0026nbsp;\u003c/strong\u003egrowth after skeletal maturity\u003c/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eL:\u0026nbsp;\u003c/strong\u003elucency (new)\u003c/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eA:\u0026nbsp;\u003c/strong\u003eadditional scintigraphic activity\u003c/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eD:\u0026nbsp;\u003c/strong\u003edestruction (cortical)\u003c/li\u003e\n\u003c/ul\u003e\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eP:\u0026nbsp;\u003c/strong\u003epain after puberty\u003c/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ea:\u0026nbsp;\u003c/strong\u003eand\u003c/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eS:\u0026nbsp;\u003c/strong\u003esoft tissue mass\u003c/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eT:\u0026nbsp;\u003c/strong\u003ethickened cartilage cap \u0026gt;1.5 cm\u003c/li\u003e\n\u003c/ul\u003e","id":2228,"imageUrl":null,"imageAttribution":null,"imageAttributionCaseInfo":null,"firstQuestionPath":"/questions/2228","nextQuestionPath":"/articles/osteochondroma-malignant-transformation-mnemonic/questions/1739","relatedArticles":[{"id":1799,"title":"Osteochondroma","link":"/articles/osteochondroma?lang=gb"}],"alsoUsedIn":[{"id":1119,"kind":"RestrictedPage","title":"Page 1119 (in no courses)","link":"https://radiopaedia.org/admin/restricted_pages/1119"},{"id":2086,"kind":"Course","title":"2024 Virtual Conference Private Use - page 2086","link":"https://radiopaedia.org/courses/2024-virtual-conference-private-use/pages/2086"},{"id":2086,"kind":"Course","title":"X-ray Interpretation: Bone Lesions Peer Review - page 2086","link":"https://radiopaedia.org/courses/x-ray-interpretation-bone-lesions-peer-review/pages/2086"},{"id":2086,"kind":"Course","title":"X-ray Interpretation: Bone Lesions - page 2086","link":"https://radiopaedia.org/courses/x-ray-interpretation-bone-lesions/pages/2086"}],"stem":"\u003cp\u003eWhich of the following is \u003cstrong\u003eNOT\u003c/strong\u003e considered a sign of malignant transformation within an osteochondroma?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/2228"}],"attemptsPercentages":[{"alternativeId":"11036","percentage":7},{"alternativeId":"11035","percentage":9},{"alternativeId":"11034","percentage":5},{"alternativeId":"11037","percentage":9},{"alternativeId":"11033","percentage":70}],"promptToLogin":false,"questionManager":false,"articleId":"osteochondroma-malignant-transformation-mnemonic"}