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The Journal of Bone and Joint Surgery 78:639-43 (1996)
© 1996 The Journal of Bone and Joint Surgery, Inc.

Editorial

Editorial - Biopsy: Complicated and Risky

Dempsey S. Springfield, M.D. and Andrew Rosenberg, M.D.

Tumors of the musculoskeletal system, especially malignant tumors, are rare. The practicing orthopaedic surgeon will see fewer than one primary malignant tumor of the musculoskeletal system every three years. This means that only orthopaedic oncologists will have much experience in the treatment of sarcomas, and there can be little, if any, argument that a patient who has a sarcoma should be referred to a medical center at which there are physicians who have expertise in the treatment of musculoskeletal neoplasia. We suspect that this happens when the referring surgeon knows that the lesion is malignant. All too often, however, the referring surgeon either does not think that the patient has a malignant tumor or finds the temptation to perform a biopsy too strong to resist. When the possibility of malignancy is not even considered, the lesion usually is excised inadequately. An inadequately excised or poorly biopsied sarcoma makes a difficult . . . [Full Text of this Article]


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