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The importance of rapid, intraoperative histological diagnosis in the radical surgical treatment of the malignant tumours of the limbs

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Summary

During a period from 1971 to 1978 13 cases of limb tumours with suspected malignancy had a biopsy and depending on the result of histological examination of frozen sections a subsequent amputation in the same session. Material included 5 cases of osteogenic sarcoma, 3 cases of mesenchymal chondrosarcoma, 2 cases of synovial sarcoma and 3 tumours of other origin. In 11 cases the radical operation was performed in the same session and in 2 cases surgical intervention was delayed until after examination of the definitive sections.

Zusammenfassung

Die Autoren haben aufgrund intraoperativer histologischer Untersuchungen an gefrorenen Schnitten in den Jahren 1971–1978 in 13 Fällen von Tumoren an den Extremitäten, die verdächtige maligne Entartungen vorwiesen, eine Biopsie mit gleichzeitig geplanter Amputation durchgeführt.

Ihr Krankengut besteht aus 5 Fällen von osteogenen Sarkomas, 3 Fällen von mesenchymalen Chondrosarkomas, 2 Fällen von synovialen Sarkomas und 3 Tumoren anderen Ursprungs. Eine radikale Operation wurde in 11 Fällen in gleicher Sitzung durchgeführt, in 2 Fällen mußte jedoch das Resultat der endgültig histologischen Untersuchung abgewartet werden.

Es werden über Möglichkeiten Vorteile und Schwierigkeiten einer radikalen Operation mit der gleichzeitigen intraoperativ durchgeführten Biopsie berichtet.

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Authors and Affiliations

  1. Department of Orthopaedics, Semmelweis Medical University, P.O. Box 45, H-1502, Budapest, Hungary

    K. Aszódi, A. Glauber & Zs. Csató

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  1. K. Aszódi
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  2. A. Glauber
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  3. Zs. Csató
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Aszódi, K., Glauber, A. & Csató, Z. The importance of rapid, intraoperative histological diagnosis in the radical surgical treatment of the malignant tumours of the limbs. Arch. Orth. Traum. Surg. 96, 123–130 (1980). https://doi.org/10.1007/BF00433291

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  • DOI: https://doi.org/10.1007/BF00433291

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