Osteochondroma - Genes & Biomarkers: Scores & Action Plans Gene / BiomarkerBad ScoreFree ActionsNon-free Actions EXT1 Gene: tumor suppressor High - LoF mut. Monitor growthavoid impact sports Genetic counselingsurgical excision EXT2 Gene: exostosin High - LoF mut. Family awarenessregular check-ups Genetic testingorthopedic follow-up Heparan Sulfate Biomarker: HSPG ↓ High - ↓ synthesis Anti-inflam. dietomega-3 intake HSPG assaybiochemical workup Alkaline Phosphatase Biomarker: ALP ↑ Med - elevated Vitamin D & calciumbalanced nutrition Bone density scanlab ALP test IGF-1 Biomarker: growth factor ↑ Med - elevated Low-GI dietsleep hygiene Endocrinology consultIGF-1 serum test FGF Signaling Biomarker: pathway dysreg. Med - dysreg. Anti-inflam. lifestylelimit growth triggers FGF inhibitor trialtargeted therapy ref. LoF = Loss of Function · HSPG = Heparan Sulfate Proteoglycan · IGF-1 = Insulin-like Growth Factor 1 · FGF = Fibroblast Growth Factor