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Chapter 1 - Staging, Biopsy, Terminology, and Surveillance of Musculoskeletal Tumors

3 phases of management:

  • (1) radiographic and other imaging staging studies
  • (2) diagnosis
  • (3) treatment
    • Consideration of:
      • Histogenic type of tumor
      • Local extent
      • Possibility of distant disease
      • Clinical factors:
        • Age, size, occupation, life-style, expectations

Incidence of musculoskeletal tumors (USA):

Primary osseous malignancies

~2,500/yr

Primary osseous benign tumors

200,000-300,000/yr

Osseous metastases

250,000-300,000/yr

Soft-tissue sarcomas

~8,000/yr

Soft-tissue benign

400,000-500,000/yr


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