Semin intervent Radiol 2010; 27(2): 185-190
DOI: 10.1055/s-0030-1253516
© Thieme Medical Publishers

Diagnosis and Planning in the Management of Musculoskeletal Tumors: Surgical Perspective

Onder Ofluoglu1 , Stefano Boriani2 , Alessandro Gasbarrini2 , Federico De Iure3 , Rakesh Donthineni4
  • 1Department of Orthopedics and Traumatology, Lutfi Kirdar Research Hospital, Cevizli, Istanbul, Turkey
  • 2Department of Oncologic and Degenerative Spine Surgery, Rizzoli Institute, Bologna, Italy
  • 3Department of Orthopaedics, Traumatology, and Spine Surgery, Ospedale Maggiore “C.A. Pizzardi” AUSL Bologna, Bologna, Italy
  • 4Spine Surgery and Orthopedic Oncology, Oakland, California
Further Information

Publication History

Publication Date:
18 May 2010 (online)

ABSTRACT

The evaluation of musculoskeletal tumors requires a close interaction between the orthopedic oncologist, radiologist, and the pathologist. Successful outcome can be achieved in a considerable number of patients by following the appropriate diagnostic strategies and staging studies. The aim of this article is to outline the presentation, imaging, and staging of the primary and metastatic bone and soft tissue tumors. Some of the image-guided interventions for these tumors are also presented.

REFERENCES

  • 1 Rydholm A, Berg N O, Gullberg B, Thorngren K G, Persson B M. Epidemiology of soft-tissue sarcoma in the locomotor system. A retrospective population-based study of the inter-relationships between clinical and morphologic variables.  Acta Pathol Microbiol Immunol Scand [A]. 1984;  92 363-374
  • 2 Mankin H J, Mankin C J, Simon M A. Members of the Musculoskeletal Tumor Society . The hazards of the biopsy, revisited.  J Bone Joint Surg Am. 1996;  78 656-663
  • 3 Constans J P, de Divitiis E, Donzelli R, Spaziante R, Meder J F, Haye C. Spinal metastases with neurological manifestations. Review of 600 cases.  J Neurosurg. 1983;  59 111-118
  • 4 Donthineni R, Ofluoglu O. Orthopaedic evaluation of the patient with suspected musculoskeletal tumor. In: Joseph T. Ferrucci, et al Taverras & Ferruci's Radiology. Philadelphia; Lippincott Williams & Wilkins 2004 73: 1-6
  • 5 Skrzynski M C, Biermann J S, Montag A, Simon M A. Diagnostic accuracy and charge-savings of outpatient core needle biopsy compared with open biopsy of musculoskeletal tumors.  J Bone Joint Surg Am. 1996;  78 644-649
  • 6 Letson G D, Greenfield G B, Heinrich S D. Evaluation of the child with a bone or soft-tissue neoplasm.  Orthop Clin North Am. 1996;  27 431-451
  • 7 Greenspan A, Remagen W. Differential Diagnosis of Tumors and Tumor-Like Lesions of Bones and Joints. 1st ed. Philadelphia; Lippincott-Raven 1997: 1-25
  • 8 Wolf R E, Enneking W F. The staging and surgery of musculoskeletal neoplasms.  Orthop Clin North Am. 1996;  27 473-481
  • 9 Greene FL, Page DL, Fleming FD, et al American Joint Committee on Cancer: Cancer Staging Manual. 6th ed. New York; Springer 2002: 221-226
  • 10 Lattig F. Bone cement augmentation in the prevention of adjacent segment failure after multilevel adult deformity fusion.  J Spinal Disord Tech. 2009;  22 439-443
  • 11 Becker S, Chavanne A, Spitaler R et al.. Assessment of different screw augmentation techniques and screw designs in osteoporotic spines.  Eur Spine J. 2008;  17 1462-1469
  • 12 Rosenthal D I. Percutaneous radiofrequency treatment of osteoid osteomas.  Semin Musculoskelet Radiol. 1997;  1 265-272
  • 13 Lindner N J, Ozaki T, Roedl R, Gosheger G, Winkelmann W, Wörtler K. Percutaneous radiofrequency ablation in osteoid osteoma.  J Bone Joint Surg Br. 2001;  83 391-396
  • 14 Sabharwal T, Salter R, Adam A, Gangi A. Image-guided therapies in orthopedic oncology.  Orthop Clin North Am. 2006;  37 105-112
  • 15 Boriani S, De Iure F, Campanacci L et al.. Aneurysmal bone cyst of the mobile spine: report on 41 cases.  Spine (Phila Pa 1976). 2001;  26 27-35
  • 16 Lackman R D, Khoury L D, Esmail A, Donthineni-Rao R. The treatment of sacral giant-cell tumours by serial arterial embolisation.  J Bone Joint Surg Br. 2002;  84 873-877

Onder OfluogluM.D. 

Vice Chairman, Orthopedic Oncology, Department of Orthopedics and Traumatology

Lutfi Kirdar Research Hospital, Cevizli, Istanbul, Turkey

Email: oofluoglu@gmail.com

    >