Orthopedic Oncologic Surgical Specimen Management and Surgical Pathology

  • A. Kevin Raymond
  • Alexander J. Lazar
Part of the MD Anderson Cancer Care Series book series (MDCCS)

Chapter Overview

The pathologist is an integral member of the multidisciplinary team ­central to the successful treatment of bone tumors. The role of the pathologist is to provide morphology-derived information pertaining to diagnosis and status of disease. Communication between all members of this team is vital at all junctures of workup and treatment. During the evaluation of biopsies, critical information from the history, physical examination, and imaging studies should be taken into account and integrated with histological observations to ensure a correct diagnosis. Later on during the course of treatment, the pathologist is called upon to advise the surgeon as to the status of resection margins and adequacy of surgery. And later still, the pathologist provides the medical oncologist with an assessment of the response to preoperative chemotherapy.

In each case, the evaluation of bone specimens requires a systematic approach to specimen preparation and analysis. Mineralization is intrinsic to the structure and function of bone. However, it adds a significant degree of difficulty to bone specimen management; osseous tissues are not easily dissected or cut using traditional techniques. Special methods are required for analyzing bone specimens and sarcomas of bone. Although complex and time consuming, the procedures, when carried out correctly, will reward the pathologist and clinician with accurate, reliable information that provides insight into diagnosis, classification, staging, and treatment efficacy.


Bone Tumor Ewing Sarcoma Aneurysmal Bone Cyst Bone Specimen Preoperative Therapy 
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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.BrunswickUSA
  2. 2.retired from Section of Orthopaedic Pathology, Department of Pathology, Division of Pathology and Laboratory MedicineThe University of Texas MD Anderson Cancer CenterHoustonUSA
  3. 3.Department of Pathology, Division of Pathology and Laboratory MedicineThe University of Texas MD Anderson Cancer CenterHoustonUSA
  4. 4.Department of Dermatology, Division of Internal MedicineThe University of Texas MD Anderson Cancer CenterHoustonUSA

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