Which among the following bone tumours is radio resistant?
**Core Concept**
Radioresistance in bone tumors refers to the ability of certain tumor cells to withstand or resist the effects of radiation therapy. This phenomenon is often associated with tumors that have a high rate of cell division or have specific molecular characteristics that confer resistance to radiation.
**Why the Correct Answer is Right**
Osteosarcoma is a primary bone malignancy characterized by its aggressive behavior and high rate of cell division. The cells of osteosarcoma exhibit a high degree of radioresistance due to their rapid cell turnover and the presence of DNA repair mechanisms. Additionally, osteosarcoma cells often have a high levels of activated Akt, which can lead to increased expression of anti-apoptotic proteins, further contributing to their radioresistance.
**Why Each Wrong Option is Incorrect**
**Option A:** Chondrosarcoma is a primary bone malignancy that is generally considered to be less aggressive than osteosarcoma. However, it is not typically known for its radioresistance.
**Option B:** Ewing's sarcoma is a highly malignant primary bone tumor that is often treated with radiation therapy. While it may exhibit some degree of radioresistance, it is not as resistant as osteosarcoma.
**Option C:** Multiple myeloma is a plasma cell malignancy that can affect the bone marrow and bone. It is not typically considered a primary bone tumor and is generally more sensitive to radiation therapy than osteosarcoma.
**Clinical Pearl / High-Yield Fact**
Osteosarcoma is the most common primary bone malignancy in children and young adults, and it often presents with pain and swelling in the affected limb. Its radioresistance makes it challenging to treat with radiation therapy alone, and surgical resection is often the primary treatment modality.
**Correct Answer: C. Multiple myeloma is not a primary bone tumor and is generally more sensitive to radiation therapy.