Abstract
Our understanding of the biology of tumors, approach to their diagnosis, and management strategies has dramatically evolved over the decades and basic science research as well as clinical outcomes studies continue to add to the existing knowledge. This chapter outlines the current approach to musculoskeletal tumors including their diagnosis, staging, biopsy, and management strategies as well as zone-specific approach to limb tumors including discussion on pathologic fractures.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Hosalkar HS, Dormans JP. Limb sparing surgery for pediatric musculoskeletal tumors. Pediatr Blood Cancer. 2004 Apr; 42(4):295–310.
Enneking WF. Staging musculoskeletal tumors. In: Enneking WF, editor. Musculoskeletal tumor surgery. New York: Churchill Livingstone; 1983. pp 68–88.
Hosalkar HS, Torbert JT, Carolan G, Lackman RD. Musculoskeletal tumors. In: Chin KR, Mehta SM, editors. Key Review Concepts. Philadelphia: Wolters Kluver/ Lippincott Williams and Wilkins; 2007.
Enneking W. Surgical prodcedures. In: Enneking WF, editor. Musculoskeletal tumor surgery. New York: Churchill Livingstone; 1983. pp 89–122.
Zeegen EN, Aponte-Tinao LA, Hornicek FJ, Gebhardt MC, Mankin HJ. Survivorship analysis of 141 modular metallic endoprostheses at early follow-up. Clin Orthop Relat Res. 2004 March; 420:239–250.
Enneking WF. Modification of the System for Functional Evaluation of Surgical Management of Musculoskeletal Tumors. In: Enneking WF, editor. Limb Salvage in Musculoskeletal Oncology. New York: Churchill Livingstone; 1987. pp 626–639.
Mankin HJ, Gebhardt MC, Jennings LC, et al. Long-term results of allograft replacement in the management of bone tumors. Clin Orthop Relat Res. 1996; 324:86–97.
Torbert JT, Fox EJ, Hosalkar HS, Ogilvie CM, Lackman RD. Endoprosthetic reconstructions: results of long-term follow-up of 139 patients. Clin Orthop Relat Res. 2005 Sep; 438:51–9.
Ogilvie CM, Torbert JT, Hosalkar HS, Fox EJ, Lackman RD. Incidence and outcomes of early infection after endoprosthetic reconstruction. The University of Pennsylvania Orthop J. 2004; 17:31–33.
Kotz R, Pongracz N, Fellinger EJ, Ritschl P. Uncemented hinge prostheses with reinsertion of the ligamentum patellae. In: Yamamuro T, editor. New developments for limb salvage in musculoskeletal tumours. New York: Springer Verlag; 1989. pp 605–10.
Bini SA, Johnston JO, Martin DL. Compliant prestress fixation in tumor prostheses: interface retrieval data. Orthopedics. 2000; 23:707–12.
Barrack RL, Lyons TR, Ingraham RQ, Johnson JC. The use of a modular rotating hinge component in salvage revision total knee arthroplasty. J Arthroplasty. 2000 Oct; 15(7):858–66.
Abboud JA, Patel RV, Donthineni-Rao R, Lackman RD. Proximal tibial segmental prosthetic replacement without the use of muscle flaps. Clin Orthop Relat Res. 2003; 414:189–196.
Hosalkar HS, Dormans JP. Surgical management of pelvic sarcoma in children. J Am Acad Orthop Surg. 2007 Jul; 15(7):408–24. Review.
Enneking W. Pelvis. In: Enneking WF, editor. Musculoskeletal tumor surgery. New York: Churchill Livingstone; 1983. pp 483–529.
Conrad EU, Springfield D, Peabody TD. Pelvis. In: Simon MA, Springfield D, editors. Surgery for bone and soft-tissue tumors. Philadelphia: Lippincott-Raven Publishers; 1998. pp 323–341.
Springfield D. Autograft reconstructions. Orthop Clin North Am. 1996; 27:483–492.
Dormans JP. Limb-salvage surgery versus amputation for children with extremity sarcomas. In: Herring JA, Birch JG, editors. The child with a limb deficiency. Rosemont, IL: American Academy of Orthopaedic Surgeons; 1998. pp 289–302.
Takami M, Ieguchi M, Takamatsu Ket-al.,. Functional evaluation of flail hip joint after periacetabular resection of the pelvis. Osaka City Med J. 1997; 43:173–183.
Conrad EU, Springfield D, Peabody TD. Pelvis. In: Simon MA, Springfield D, editors. Surgery for bone and soft-tissue tumors. Philadelphia: Lippincott-Raven Publishers; 1998. pp 323–341.
Aboulafia AJ, Buch R, Mathews Jet-al., Reconstruction using the saddle prosthesis following excision of primary and metastatic periacetabular tumors. Clin Orthop. 1995; 314:203213.
Malawer M. Periacetabular resections. In: Malawer MM, Sugarbaker PH, editors. Musculoskeletal cancer surgery. Norwell, Massachusetts: Kluwer Academic Publishers; 2001. pp 425–438.
Lackman RD, Torbert JT, Hosalkar HS, Fox EJ, Ogilvie CM. Treatment of Metastases to the Extremities and Pelvis. In Operative Techniques in Orthopedics, Elsevier Inc, Philadelphia. 2004.
Ward WG, Holsenbeck S, Dorey FJ, et al. Metastatic disease of the femur: surgical treatment. Clin Orthop. 2003; 415 (suppl):S230–S244.
Hardman PD, Robb JE, Kerr GR, et al. The value of internal fixation and radiotherapy in the management of upper and lower limb bone metastases. Clin Oncol. (R Coll Radiol) 1992; 4:244–248.
Mirels H: Metastatic disease in long bones. A proposed scoring system for diagnosing impending pathologic fractures. Clin Orthop. 1989; 249:256–264.
Jacofsky DJ, Papagelopoulos PJ, Sim FH: Advances and challenges in the surgical treatment of metastatic bone disease. Clin Orthop. 2003; 415 (suppl):S14–S18.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2009 Humana Press, a part of Springer Science+Business Media, LLC
About this chapter
Cite this chapter
Hosalkar, H.S., Goebel, J., Khurana, J.S., Lackman, R.D. (2009). Musculoskeletal Neoplasms: An Introduction. In: Khurana, J. (eds) Bone Pathology. Humana Press. https://doi.org/10.1007/978-1-59745-347-9_16
Download citation
DOI: https://doi.org/10.1007/978-1-59745-347-9_16
Published:
Publisher Name: Humana Press
Print ISBN: 978-1-58829-766-2
Online ISBN: 978-1-59745-347-9
eBook Packages: MedicineMedicine (R0)