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Tumor

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CONDITIONS

Tumor Chart – Summary table of the seven questions to ask, differential diagnosis and important information about each tumor.

Musculoskeletal tumors – The five presenting complaints

  • Soft tissue mass
  • Painless bony mass
  • Bone tumor as an incidental finding
  • Painful bone lesion
  • Pathologic fracture

Radiographic analysis of bone tumors – Seven questions to ask

  • Where is the lesion?
  • How large is the lesion?
  • What is the lesion doing to the bone?
  • What is the bone doing in response?
  • What kind of matrix is being made?
  • Is the cortex eroded?
  • Is a soft tissue mass evident?

Biological potential of bone lesions

  • Benign latent bone lesions
  • Benign active bone lesions
  • Benign aggressive bone lesions
  • Malignant bone lesions

Differential diagnosis of bone lesions

  • Polyostotic conditions
  • Juxta-articular bone lesions
  • Epiphyseal bone lesions
  • Epiphyseal-metaphyseal bone lesions
  • Metaphyseal and metaphyseal-diaphyseal bone lesions
  • Diaphyseal bone lesions
  • Parosteal bone lesions
  • Anterior bone spine
  • Posterior bone spine
  • Sacrum bone lesions

Biopsy and staging

  • Who should undergo biopsy of a bone lesion?
  • Who should do the biopsy of a bone lesion?
  • Bone biopsy surgical technique
  • Needle versus open biopsy for bone lesion
  • Staging of bone tumors

Benign primary bone lesions

  • Osteoid osteoma
  • Osteoblastoma
  • Osteoma
  • Osteochondroma
  • Multiple hereditary exostoses (familial osteochondromatosis)
  • Enchondroma
  • Chondromyxoid fibroma
  • Chondroblastoma
  • Periosteal chondroma (juxtacortical chondroma)
  • Synovial chondromatosis
  • Fibrous cortical defect
  • Nonossifying fibroma
  • Fibrous dysplasia
  • Ossifying fibroma (osteofibrous dysplasia)
  • Giant cell tumor
  • Aneurysmal bone cyst
  • Unicameral bone cyst
  • Eosinophilic granuloma
  • Hemangioma of bone

Malignant primary bone lesions

  • Osteosarcoma
    • Low-grade intramedullary osteosarcoma
    • Parosteal osteosarcoma
    • Periosteal osteosarcoma
  • Chondrosarcoma (central)
  • Fibrosarcoma
  • Malignant fibrous histiocytoma (MFH)
  • Myeloma
  • Lymphoma of bone
  • Leukemia
  • Ewing sarcoma
  • Adamantinoma
  • Chordoma

Disease states mimicking primary bone tumors

  • Stress fracture
  • Enostosis (bone island)
  • Bone infarct
  • Hyperparathyroidism
  • Paget’s disease of bone (osteitis deformans)
  • Hematogenous osteomyelitis
  • Metastasis to bone
  • Tumor-induced osteomalacia

Soft tissue tumors

  • Angiosarcoma
  • Dermatofibrosarcoma protuberans (DFSP)
  • Desmoplastic fibroma
  • Epithelioid sarcoma
  • Fibromatosis
  • Ganglion
  • Giant cell tumor of tendon sheath
  • Glomus tumor
  • Hemangioendothelioma
  • Hemangiopericytoma
  • Leiomyoma
  • Leiomyosarcoma
  • Lipoma
  • Liposarcoma
  • Melanoma
  • Mesenchymoma (benign)
  • Mesenchymoma (malignant)
  • Myositis ossificans
  • Neuroblastoma (metastatic)
  • Neurofibroma
  • Neurofibrosarcoma
  • Neurolemmoma
  • Pigmented villonodular synovitis (PVNS)
  • Rhabdomyoma
  • Rhabdomyosarcoma
  • Squamous cell carcinoma
  • Synovial sarcoma

OPERATIVE TECHNIQUES

  • Above-elbow amputations
  • Above-knee amputation
  • Adductor muscle group (medial thigh) resection
  • Anterior flap hemipelvectomy
  • Axillary space exploration and resections
  • Below-elbow amputations
  • Below-knee amputation
  • Biceps and bracialis muscle group resection
  • Biopsy of musculoskeletal tumors – principles and techniques
  • Buttockectomy
  • Chopart amputation
  • Curettage and cryosurgery benign and aggressive bone tumors
  • Curettage and cryosurgery for benign and aggressive bone tumors
  • Distal femur resections – extra-articular resection with a mobile knee
  • Distal humeral resections with endoprosthetic replacement
  • Expandable prostheses
  • Fibular resections
  • Forequarter amputation
  • Gastrocnemius and soleus muscle group resections
  • Hamstring muscle group (posterior thigh) resection
  • Hip disarticulation
  • Lisfranc amputation
  • Management of metastatic bone disease of other sites
  • Management of metastatic bone disease of the femur
  • Management of metastatic bone disease of the hip
  • Management of metastatic bone disease of the humerus
  • Management of metastatic bone disease of the pelvis
  • Pelvic resections
  • Periacetabular resections and saddle prosthesis
  • Popliteal space exploration and resections
  • Posterior flap hemipelvectomy
  • Primary and malignant tumors of the spine
  • Proximal and total femur resections with endoprosthetic replacement
  • Proximal humeral resection with allograft prosthetic composite
  • Proximal humeral resection with endoprosthetic replacement, intra-articular and extra-articular resections
  • Proximal tibia resections with endoprosthetic replacement
  • Quadriceps resection (anterior thigh) and muscle transfers
  • Ray resections
  • Scapulectomy and its variants
  • The use of allografts for reconstruction of segmental bone defects and use of segmental prosthesis
  • The use of microvascularized fibulas for reconstruction of segmental bone defects
  • Tibia allograft resection fusion of distal tibia
  • Total scapular resections with endoprosthetic reconstruction
  • Triceps muscle group resection

See All Operative Techniques in Tumor

Attachments:


Tumor Chart.doc (application/msword)

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