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Surgical Treatment Of Neglected Cases Of Malignant Bone Tumors

Surgical Treatment Of Neglected Cases Of Malignant Bone Tumors. Re-written By: Daniel Habashi. Bone Tumors. Primary malignant bone tumors are rare – only 6/ mln /year Although rare, they are highly aggressive

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Surgical Treatment Of Neglected Cases Of Malignant Bone Tumors

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  1. Surgical Treatment Of Neglected Cases Of Malignant Bone Tumors Re-written By: Daniel Habashi

  2. Bone Tumors • Primary malignant bone tumors are rare – only 6/mln/year • Although rare, they are highly aggressive • They all present with non-mechanical pain (like a toothache) followed later by swelling • Delays in diagnosis are common • Metastases are blood-borne and usually arise first in the lungs

  3. Clinical Presentation • Pain • Swelling • Oathological fracture

  4. Radiological Features • Bone destruction • New bone formation • Soft tissue swelling • Periosteal elevation – CODMANS TRIANGLE

  5. Aim of Surgery • Surgical resection with margins • Limited indications for amputation or disarticulation (amputation through the joint) • Basically this means that when you have a tumor of the long-bone, you must remove the tumor as a whole, with a margin of 7-10cm. So at times it’s required to remove the whole bone

  6. Enneking’s Criteria • Histological subtype • Grade • Anatomical setting (intra or extra compartmental)

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