Jundt G, Baumhoer D
Knochentumor-Referenzzentrum am Institut für Pathologie, Universitätsspital Basel, Schoenbeinstraße 40, CH-4031, Basel, Schweiz,
Unfallchirurg. 2014 Jun;117(6):510-6. doi: 10.1007/s00113-013-2472-4.
Bone tumors are very rare. Diagnosis and treatment is an interdisciplinary task for experienced radiologists, pathologist, and surgeons that is ideally performed in specialized centers. For optimal processing of bone specimens, basic laboratory equipment and special techniques are required. The cornerstone of the histological diagnosis remains H&E staining, supplemented by special stains, immunohistochemistry, and molecular techniques. For an appropriate diagnosis, data on clinical history, age, location, topography within bone, and imaging are required. Major differences between histological and radiological diagnosis have to be clarified before starting treatment (e.g., by involving a reference registry).
骨肿瘤非常罕见。诊断和治疗对于经验丰富的放射科医生、病理学家和外科医生来说是一项跨学科任务,理想情况下应在专门的中心进行。为了对骨标本进行最佳处理,需要基本的实验室设备和特殊技术。组织学诊断的基石仍然是苏木精-伊红染色,并辅以特殊染色、免疫组织化学和分子技术。为了做出恰当的诊断,需要临床病史、年龄、位置、骨内局部解剖以及影像学等方面的数据。在开始治疗之前(例如通过参考登记处),必须明确组织学诊断和放射学诊断之间的主要差异。