Diagnostic approach to bone tumors Kemik tümörlerine tanisal yaklaşim
SENDROM, cilt.15, sa.4, ss.107-117, 2003 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 15 Sayı: 4
- Basım Tarihi: 2003
- Dergi Adı: SENDROM
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.107-117
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Bone tumors are rare neoplasms and usually occur in children and adolescents. Clinical presentation of these tumors is not obvious, because symptoms and signs are not specific and usually not patognomic for tumor. Therefore diagnosis is often delayed. Establishing a correct diagnosis directly relates to authoritative knowledge and scientific suspicion of physician. One major point should not be forgotten, survey of the patient is the result of stage of tumor at the time of diagnosis. Evaluation process begins with medical' history and physical examination. Age of patient is a valuable part of information. Laboratory examinations don't supply much information. Radiologic examinations play major roles in diagnosis and evaluation of DVT. Particularly conventional radiography provides fundamental evidence about tumor. Also computed tomography and magnetic resonance imaging are used to detect intraosseous or soft tissue invasion. To establish pathological diagnosis, biopsy should be performed. Biopsy and then surgical approach will be planned based on radiologic data. Diagnostic and staging procedures should be initiated by a knowlegeable orthopedic oncologist. Pathological interperation of local and systemic extension of tumor should be got after evaluation. Physician must be able to determine the tumor as benign primary bone tumor (progressive-nonprogressive), malign primary bone tumor or metastasis. During all of this procedures orthopedic surgeon should be closely collaborated with a pathologist, radiologist and oncologist. Early and adequate diagnosis only obtain with experienced physicians who has knowledge about evaluation procedures, suspicious and meticulous approach to the patient. If the lesion is likely to be agressive or malign, the patient should also be referred to an orthopaedic oncology center without further evaluation or biopsy.