Chapter

Choice of surgery for tumour: Staging and surgical margins

Panagiotis D. Gikas and Timothy W.R. Briggs

in Oxford Textbook of Trauma and Orthopaedics

Second edition

Published on behalf of Oxford University Press

Published in print August 2011 | ISBN: 9780199550647
Published online April 2011 | e-ISBN: 9780199608249 | DOI: http://dx.doi.org/10.1093/med/9780199550647.003.002001

Series: Oxford Textbooks

Choice of surgery for tumour: Staging and surgical margins

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  • Trauma and Orthopaedic Surgery
  • Histopathology
  • Surgical Oncology

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Bone and soft tissue tumours are rare and should therefore be assessed and treated in specialized centres

Clinical staging and pathological grading is used to classify the extent of a tumour

Clinical staging uses various imaging techniques, pathological grading requires tumour biopsy following clinical staging

The Enneking system is commonly used for surgical staging of bone and soft tissue tumours

Surgery is the mainstay of treatment for musculoskeletal tumours

The surgical margin describes the extent of the procedure

Intralesional margins describe a procedure that removes the tumour alone, radical margins may require removal of entire bone

Open incisional biopsy is the gold standard method for obtaining a representative specimen of tumour

Careful planning and good collaboration between surgeons, radiologists, and pathologists is crucial to avoid unnecessary or dangerous biopsy procedures.

Chapter.  3756 words.  Illustrated.

Subjects: Trauma and Orthopaedic Surgery ; Histopathology ; Surgical Oncology

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