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Choice of surgery for tumour: Staging and surgical margins 

Choice of surgery for tumour: Staging and surgical margins
Chapter:
Choice of surgery for tumour: Staging and surgical margins
Author(s):

Panagiotis D. Gikas

and Timothy W.R. Briggs

DOI:
10.1093/med/9780199550647.003.002001
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date: 15 November 2019

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.

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