Current Concepts in the Biopsy of Musculoskeletal Tumors
In the management of bone and soft tissue tumors, accurate diagnosis, using a combination of clinical, radiographic, and histological data, is critical to optimize outcome. On occasion, diagnosis can be made by careful history, physical examination, and images alone. However, the ultimate diagnosis...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1155/2013/538152 |
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| author | Costantino Errani Francesco Traina Fabrizio Perna Carlotta Calamelli Cesare Faldini |
| author_facet | Costantino Errani Francesco Traina Fabrizio Perna Carlotta Calamelli Cesare Faldini |
| author_sort | Costantino Errani |
| collection | DOAJ |
| description | In the management of bone and soft tissue tumors, accurate diagnosis, using a combination of clinical, radiographic, and histological data, is critical to optimize outcome. On occasion, diagnosis can be made by careful history, physical examination, and images alone. However, the ultimate diagnosis usually depends on histologic analysis by an experienced pathologist. Biopsy is a very important and complex surgery in the staging process. It must be done carefully, so as not to adversely affect the outcome. Technical considerations include proper location and orientation of the biopsy incision and meticulous hemostasis. It is necessary to obtain tissue for a histological diagnosis without spreading the tumor and so compromise the treatment. Furthermore, the surgeon does not open compartmental barriers, anatomic planes, joint space, and tissue area around neurovascular bundles. Nevertheless, avoid producing a hematoma. Biopsy should be carefully planned according to the site and definitive surgery and should be performed by an orthopedic surgeon with an experience in musculoskeletal oncology who will perform the definitive surgery. Improperly done, it can complicate patient care and sometimes even eliminate treatment options. Different biopsy techniques are suitable: fine-needle aspiration, core-needle biopsy, and incisional biopsy. The choice of biopsy depends on the size, the location of the lesion, and the experience of the pathologist. |
| format | Article |
| id | doaj-art-a63069141e66499f98a54177588e8966 |
| institution | Kabale University |
| issn | 1537-744X |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-a63069141e66499f98a54177588e89662025-02-03T06:14:19ZengWileyThe Scientific World Journal1537-744X2013-01-01201310.1155/2013/538152538152Current Concepts in the Biopsy of Musculoskeletal TumorsCostantino Errani0Francesco Traina1Fabrizio Perna2Carlotta Calamelli3Cesare Faldini4Orthopaedic Service, Rizzoli Institute, Rizzoli-Sicilia, Strada Statale 113 Km, 246-90011 Bagheria, ItalyOrthopaedic Service, Rizzoli Institute, Rizzoli-Sicilia, Strada Statale 113 Km, 246-90011 Bagheria, ItalyOrthopaedic Service, Rizzoli Institute, Rizzoli-Sicilia, Strada Statale 113 Km, 246-90011 Bagheria, ItalyOrthopaedic Service, Rizzoli Institute, Rizzoli-Sicilia, Strada Statale 113 Km, 246-90011 Bagheria, ItalyOrthopaedic Service, Rizzoli Institute, Rizzoli-Sicilia, Strada Statale 113 Km, 246-90011 Bagheria, ItalyIn the management of bone and soft tissue tumors, accurate diagnosis, using a combination of clinical, radiographic, and histological data, is critical to optimize outcome. On occasion, diagnosis can be made by careful history, physical examination, and images alone. However, the ultimate diagnosis usually depends on histologic analysis by an experienced pathologist. Biopsy is a very important and complex surgery in the staging process. It must be done carefully, so as not to adversely affect the outcome. Technical considerations include proper location and orientation of the biopsy incision and meticulous hemostasis. It is necessary to obtain tissue for a histological diagnosis without spreading the tumor and so compromise the treatment. Furthermore, the surgeon does not open compartmental barriers, anatomic planes, joint space, and tissue area around neurovascular bundles. Nevertheless, avoid producing a hematoma. Biopsy should be carefully planned according to the site and definitive surgery and should be performed by an orthopedic surgeon with an experience in musculoskeletal oncology who will perform the definitive surgery. Improperly done, it can complicate patient care and sometimes even eliminate treatment options. Different biopsy techniques are suitable: fine-needle aspiration, core-needle biopsy, and incisional biopsy. The choice of biopsy depends on the size, the location of the lesion, and the experience of the pathologist.http://dx.doi.org/10.1155/2013/538152 |
| spellingShingle | Costantino Errani Francesco Traina Fabrizio Perna Carlotta Calamelli Cesare Faldini Current Concepts in the Biopsy of Musculoskeletal Tumors The Scientific World Journal |
| title | Current Concepts in the Biopsy of Musculoskeletal Tumors |
| title_full | Current Concepts in the Biopsy of Musculoskeletal Tumors |
| title_fullStr | Current Concepts in the Biopsy of Musculoskeletal Tumors |
| title_full_unstemmed | Current Concepts in the Biopsy of Musculoskeletal Tumors |
| title_short | Current Concepts in the Biopsy of Musculoskeletal Tumors |
| title_sort | current concepts in the biopsy of musculoskeletal tumors |
| url | http://dx.doi.org/10.1155/2013/538152 |
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