Bone Sarcoma by Bryan S. Moon (auth.), Patrick P. Lin, Shreyaskumar Patel

By Bryan S. Moon (auth.), Patrick P. Lin, Shreyaskumar Patel (eds.)

Bone Sarcoma is a succinct quantity in the M.D. Anderson melanoma Care sequence that summarizes the foremost parts of alternative specialties as they pertain to those cancers. it's a very important source for physicians operating with those unusual but interesting bone sarcomas and makes use of a multidisciplinary workforce process that's necessary to maximizing a patient’s possibilities of a winning consequence. Written for physicians who've an curiosity in how the complete therapy procedure works and the way their efforts are intertwined with these in their colleagues, Bone Sarcoma covers subject matters corresponding to diagnostic innovations, therapy modalities, reconstruction and serve as, and a extra globally orientated bankruptcy geared in the direction of algorithms for perioperative administration and follow-up of patients.

Designed for the busy practitioner, the esteemed M.D. Anderson melanoma Care sequence bargains an in-depth view of the present commonplace of care at M. D. Anderson, with out huge literature overview or dialogue of methods now not but included into regimen scientific perform. each one bankruptcy ends with an up to date record of steered readings and an inventory of “key perform issues” highlighting crucial ideas offered. those books supply a transparent photograph of the way M. D. Anderson is effectively treating sufferers today.

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Extra resources for Bone Sarcoma

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Nevertheless, when limb-salvage surgery is contemplated for primary bone tumors, anatomically based guidelines should be followed such that the surgeon could resect the biopsy track using a standard incision, without the need for additional soft tissue resection (Liu et al. 2007). 3 Percutaneous Image-Guided Biopsy for Diagnosis of Bone Sarcomas 35 Fig. 1 Evaluation of an 11-year-old boy who presented with pain involving his left thigh. (a) Anteroposterior and lateral radiographs of the left femur demonstrate an aggressive, sclerotic lesion with expansion of the distal left femur.

In the chest, abdomen, and pelvis, CT is the primary cross-sectional method of diagnosis for nonmusculoskeletal disease. MR sequences, even short ones, take at least a minute or two to acquire, increasing the likelihood of significant motion artifact. The normal physiologic motion of the heart, lungs, and intestines and the transmitted motion that affects such internal organs as the liver and kidneys decrease the quality of the MR images. CT scans, on the other hand, now take mere seconds and can be performed in 1 breath hold, essentially eliminating motion artifact.

Images in the oblique and nonconventional planes may also be obtained. Three-dimensional and volumetric CT images can assist in preoperative planning. Plastic models made from the three-dimensional CT images are also useful in the design and manufacture of customized prostheses with an accurate fit. When there is a contraindication to MRI, CT with contrast media may be used in its place for evaluation of the extent of bone disease. Skeletal Scintigraphy Like MRI, skeletal scintigraphy is a highly sensitive but nonspecific imaging modality for detection of bone lesions; however, unlike regional MRI, it provides a global picture of the entire skeleton.

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