By Timothy A. Damron MD, Carol D. Morris MD MS, Paul Tornetta III MD, Thomas A. Einhorn MD
This quantity of our Orthopaedic surgical procedure necessities Series offers the entire info citizens want in the course of orthopaedic oncology rotations and the basic simple technological know-how wanted for board coaching, medical perform, and orthopaedic learn, together with molecular and mobile biology, development and improvement, the genetic foundation of musculoskeletal problems, biomaterials and biologic reaction to orthopaedic implants, and neoplastic issues. The publication can simply be learn disguise to hide in the course of a rotation or used for quick overview sooner than forums or quickly reference in medical perform. The elementary, visually stimulating layout positive aspects various tables and abundant illustrations, together with colour plates displaying tumor histopathology.
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Extra resources for Oncology and Basic Science
Transilluminate superficial masses (rule out ganglion). ■ Palpate for tenderness. ■ Palpate to determine consistency (soft versus firm). ■ Check for pulsations, bruit. ■ Palpate adjacent blood vessels and bones. ■ Perform complete neurological examination. ■ Examine the abdomen for hepatomegaly or spleno- Figure 2-1 Soft tissue phleboliths. Diagnosis: Hemangioma. megaly. ■ Examine entire extremity; check for satellite lesions. ■ Examine regional lymph nodes. Radiographic Features Plain Radiographs.
Intermediate ■ In 2002, WHO subdivided intermediate tumors into two categories: intermediate–locally aggressive and intermediate–rarely metastasizing. ■ Intermediate–locally aggressive tumors tend to cause local problems and recur locally. ■ Examples include desmoid tumors and atypical lipomatous tumors. ■ Histologically, they demonstrate an infiltrative pattern. ■ Often, wide surgical excision is necessary, particularly with desmoid tumors, although on occasion even this is inadequate to achieve local control.
Sundaram M. Magnetic resonance imaging for solitary lesions of bone: when, why, how useful? J Orthop Sci 1999;4(5):384–396. Temple HT, Bashore CJ. Staging of bone neoplasms: an orthopedic oncologist’s perspective. Semin Musculoskelet Radiol 2000;4(1): 17–23. Wenaden AE, Szyszko TA, Saifuddin A. Imaging of periosteal reactions associated with focal lesions of bone. Clin Radiol 2005;60(4): 439–456. Woertler K. Benign bone tumors and tumor-like lesions: value of crosssectional imaging. Eur Radiol 2003;13(8):1820–1835.
Oncology and Basic Science by Timothy A. Damron MD, Carol D. Morris MD MS, Paul Tornetta III MD, Thomas A. Einhorn MD