Putzier M, Haschke F
Centrum für Muskuloskeletale Chirurgie, Klinik für Orthopädie, Charité-Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Deutschland.
Orthopade. 2013 Sep;42(9):691-9. doi: 10.1007/s00132-013-2064-6.
Because of the heterogeneous clinical and paraclinical symptoms accompanied by the urgent necessity to rapidly find a diagnosis, the differential diagnostic delineation of spinal tumors from back pain related to other reasons is a special challenge in the orthopedic practice. Employing an algorithm based on anamnesis, clinical, radiological and paraclinical examinations, a guideline-related biopsy as well as histological processing of the biopsy material, tumor lesions can usually be classified regarding entity, dignity and extent. Following this a treatment strategy can be defined. Because of the necessity of an interdisciplinary approach the diagnostic algorithm should be planned during a tumor conference and performed in specialized centers.
由于伴有快速明确诊断的迫切需求的临床和辅助临床症状具有异质性，在骨科实践中，将脊柱肿瘤与其他原因引起的背痛进行鉴别诊断是一项特殊挑战。采用基于病史、临床、放射学和辅助临床检查的算法、与指南相关的活检以及活检材料的组织学处理，通常可以根据肿瘤的类型、性质和范围对肿瘤病变进行分类。在此基础上，可以确定治疗策略。由于需要采取跨学科方法，诊断算法应在肿瘤会议期间制定，并在专业中心实施。
