Sherman Courtney E, O'Connor Mary I
Department of Orthopedic Surgery, Mayo Clinic, Jacksonville, FL 32224, USA.
Semin Musculoskelet Radiol. 2013 Apr;17(2):221-6. doi: 10.1055/s-0033-1343098. Epub 2013 May 14.
Imaging of a musculoskeletal tumor or lesion is vital for the proper diagnosis and treatment of a patient. There are critical questions for the orthopedic oncologist that musculoskeletal imaging should answer. Is the lesion demonstrating benign or malignant characteristics? Where are the vital structures located in relationship to the lesion? Are there any other regional metastases? Where should an image-guided or open biopsy be performed to allow for limb salvage? What surgical resection will allow adequate margins with the goal of preserving as much function as possible? Decisions regarding biopsies and surgical planning are ideally made by a collaborative discussion between the treating orthopedic oncologist and the radiologist.
肌肉骨骼肿瘤或病变的影像学检查对于患者的正确诊断和治疗至关重要。肌肉骨骼影像学应回答骨科肿瘤学家面临的关键问题。该病变表现出良性还是恶性特征？重要结构相对于病变位于何处？是否存在其他区域转移？应在何处进行影像引导下或开放性活检以实现保肢？为尽可能保留功能，何种手术切除能获得足够的切缘？活检和手术规划的决策理想情况下应由主治骨科肿瘤学家和放射科医生共同讨论做出。
