Orthopaedics and Trauma
Volume 23, Issue 4 , Pages 231-239, August 2009

(ii) Investigation of musculoskeletal malignancy

Robert U Ashford FRCS(Tr & Orth) Consultant Orthopaedic and Musculoskeletal Tumour Surgeon for the East Midlands Sarcoma Service at Leicester Royal Infirmary, Infirmary Square, Leicester, LE1 5WW and Nottingham City Hospital, Hucknall Road, Nottingham, NG5 1PB, UK

K Julia Fairbairn FRCR Consultant Musculoskeletal Radiologist for the East Midlands Sarcoma Service at Nottingham City Hospital, Hucknall Road, Nottingham, NG5 1PB, UK

Abstract 

Diagnosis and assessment of the extent of tumour burden are key to managing musculoskeletal malignancy to avoid the risk of inappropriate treatment when palliation would be appropriate. This review sets out the principles of investigating suspected musculoskeletal malignancies for the non-specialist with a focus also on the musculoskeletal imaging rather than oncological staging. It is not intended to be a comprehensive review of all musculoskeletal malignancies.

Keywords: biopsy, investigation, metastases, MRI, sarcoma

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PII: S1877-1327(09)00090-6

doi:10.1016/j.mporth.2009.06.004

Orthopaedics and Trauma
Volume 23, Issue 4 , Pages 231-239, August 2009