The evaluation of patients with musculoskeletal neoplasms was discussed in detail in Chapter 24 , but certain points warrant repetition and elaboration. In contrast to bone tumors, the presence or absence of pain does not help to distinguish benign from…
Osteosarcoma Osteosarcoma is a tumor characterized by the production of osteoid by malignant cells. It is the most common nonhematologic primary malignancy of bone. The incidence is 1:3 per 1 million per year. Onset can occur at any age; however,…
The aggressiveness of the lesions described in this chapter ranges between purely benign and frankly malignant. Although these lesions frequently are treated satisfactorily with intralesional procedures, such as curettage, they are sometimes very aggressive locally and require marginal or wide…
This chapter discusses bony lesions that do not usually behave aggressively locally and that have never been shown to metastasize. Most are either asymptomatic or minimally symptomatic except when complications, such as a pathologic fracture, occur. Many are discovered incidentally…
A team comprising an orthopaedic surgeon, radiologist, pathologist, radiation oncologist, and medical oncologist is necessary to treat the spectrum of musculoskeletal tumors. Other surgical specialists frequently are required, such as a vascular surgeon, thoracic surgeon, or plastic surgeon. The orthopaedic…
Amputation is the most ancient of surgical procedures. Advancements in surgical technique and prosthetic design historically were stimulated by the aftermath of war. Early surgical amputation was a crude procedure by which a limb was rapidly severed from an unanesthetized…