Tumor Reconstruction & Limb Salvage Journal Scan

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Posting date: October 26, 2015
Next review date: October 26, 2018

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Terms and Conditions

Improper techniques for biopsy can result in missed diagnoses and the contamination of surrounding tissue planes, and may compromise future limb salvage or amputation. A biopsy procedure must therefore be carefully considered and planned to avoid unnecessary treatment procedures, changes in the course of treatment, or both. Essentially, biopsy is done with one of four techniques, consisting of open incisional, open excisional, percutaneous core needle biopsy, and fine-needle aspiration. Each technique has distinct indications, advantages, disadvantages, and risks. Additional considerations in planning an effective biopsy include the types of lesions that need to be biopsied and those that do not, the most appropriate technique for the biopsy, the anatomic approach that should be taken, and the way in which biopsied tissue should be handled prior to delivering it to the pathologist.

The Journal of the American Academy of Orthopaedic Surgeons (JAAOS) is the #1 clinical review journal of musculoskeletal education in the world. The peer-reviewed articles presented each month in JAAOS critically evaluate and synthesize current information regarding the diagnosis and management of musculoskeletal conditions and document the current state of orthopaedic practice.

The editorial board of JAAOS represents every subspecialty within orthopaedic medicine: Sports Medicine, Trauma, Pediatric Orthopaedics, Hip and Knee, Spine, Shoulder and Elbow, Hand and Wrist, Foot and Ankle, and Musculoskeletal Oncology, as well as areas of general orthopaedic interest. This diversity of topics is reflected in every issue of the Journal.

I have read and agree to the terms and conditions for use of this site linked to below.

Terms and Conditions

Improper techniques for biopsy can result in missed diagnoses and the contamination of surrounding tissue planes, and may compromise future limb salvage or amputation. A biopsy procedure must therefore be carefully considered and planned to avoid unnecessary treatment procedures, changes in the course of treatment, or both. Essentially, biopsy is done with one of four techniques, consisting of open incisional, open excisional, percutaneous core needle biopsy, and fine-needle aspiration. Each technique has distinct indications, advantages, disadvantages, and risks. Additional considerations in planning an effective biopsy include the types of lesions that need to be biopsied and those that do not, the most appropriate technique for the biopsy, the anatomic approach that should be taken, and the way in which biopsied tissue should be handled prior to delivering it to the pathologist.

BACKGROUND:

Tumor-induced osteomalacia is a rare and fascinating paraneoplastic syndrome usually caused by a small, benign phosphaturic mesenchymal tumor. Most tumors are treated surgically, but we are unaware of any reports that compare the results of curettage and segmental resection for lesions in long bones.

METHODS:

Seventeen patients (ten male and seven female) with tumor-induced osteomalacia lesions in long bones, who underwent surgical treatment from December 2004 to August 2013 in our hospital, were included in this retrospective study. The mean follow-up (and standard deviation) was 35 ± 27 months (range, twelve to 116 months). The characteristics of the tumor and the effects of different surgical treatments (curettage compared with segmental resection) were evaluated.