内容案例综合8 bone tumor2014.pdf

B UMORS Hu Yuezheng, Wen Hong Dept. of Orthopedic Surgery Second Affiliated Hospital of W U C March, 2013 ◼ My : General Consideration Definition Tumors of the skeletal system lude primary, secondary and metastatic bone tumors. Bone tumors can be benign or malignant. Malignant bone tumors have been called as because the bone tissue arise from middle germ layer of the embryo (mesenchymal tissue). General Consideration ◼ Diagnosis ◼ Surgical staging ◼ Pr iples of management 1.Diagnosis of b umors Clinical Evaluation Radiographs Laboratory Tests Matastatic Evaluation Biopsy Clinical Evaluation In the diagnosis of b umors, the patient’smedical history usually contributes only limited information. ◼ Age is most important piece of clinical information. ◼ For example, in a patient whose age is above 50 years, with a destructive lesion, is likely to indicate metastased to bone, even if information about a known primary focus is lacking. a usually occurs hildren or young adults. Giant cell tumor in s of 20 –40. Clinical Evaluation ◼ predilection ◼ Giant cell tumors are more frequent in female patients and a occurs more often in male patients ◼ Pain ◼ unremitting pain or pain that is more severe at rest or at night than during the day is sometimes considered a sym