The nurse provides a teaching session to the nursing staff regarding osteosarcoma. Which statement by a member of the nursing staff indicates a need for information?

“The femur is the most common site of this sarcoma.” “The child does not experience pain at the primary tumor site.”“Limping, if a weight-bearing limb is affected, is a clinical manifestation.”“The symptoms of the disease in the early stage are almost always attributed to normal growing pains.”

Explanation.

Osteosarcoma is the most common bone cancer in children. Cancer usually is found in the metaphysis of long bones, especially in the lower extremities, with most tumors occurring in the femur. Osteosarcoma is manifested clinically by progressive, insidious, and intermittent pain at the tumor site. By the time these children receive medical attention, they may be in considerable pain from the tumor. Options 1, 3, and 4 are accurate regarding osteosarcoma.