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European Instructional Lectures pp 45–58Cite as

How to Manage Osteolytic Lesions

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Part of the book series: European Instructional Lectures ((EICL,volume 12))

Abstract

The range of differential diagnoses for osteolytic lesions in the skeletal system is wide, extending from asymptomatic benign lesions—often diagnosed as incidental findings—to clinically symptomatic high-grade osteosarcomas. In the majority of cases, the lesions are benign and in most cases do not require any therapeutic intervention. Malignant primary bone tumours are a rarity. Due to their inexperience with benign findings, the physicians who initially see the patients (general practitioners, pediatricians, radiologists, orthopaedists, etc.) therefore face a dilemma: on the one hand, they need to carry out extensive diagnostic procedures (including radiological and sometimes also invasive methods) in order to avoid overlooking a possible osteosarcoma. On the other hand, it is by no means rare for patients with an osteosarcoma to be referred to a specialized tumour center only when the lesion is at an extremely advanced stage, as the physicians previously treating the patient did not expect a malignant process.

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Authors and Affiliations

  1. Department of Orthopaedics and Tumour Orthopaedics, Münster University Hospital, Albert-Schweitzer-Strasse 33, 48149, Münster, Germany

    Jendrik Hardes

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  1. Jendrik Hardes
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Correspondence to Jendrik Hardes .

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Editors and Affiliations

  1. Royal National Orthopaedic Hospital Trus, Brockley Hill, Stanmore, HA 7 4LP, Middlesex, United Kingdom

    George Bentley

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Hardes, J. (2012). How to Manage Osteolytic Lesions. In: Bentley, G. (eds) European Instructional Lectures. European Instructional Lectures, vol 12. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-27293-6_5

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  • DOI: https://doi.org/10.1007/978-3-642-27293-6_5

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  • Print ISBN: 978-3-642-27292-9

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