The Journal of Bone and Joint Surgery 79:1591-3 (1997)
© 1997 The Journal of Bone and Joint Surgery, Inc.
Correspondence
Henrik C. F. Bauer, M.D., Ph.D.,
Dempsey Springfield, M.D. and
Andrew Rosenberg, M.D.
TO THE EDITOR:
In their Editorial "Biopsy: Complicated and Risky" (78-A: 639643, May 1996), Springfield and Rosenberg addressed the issue of the biopsy in musculoskeletal oncology. They were disheartened by the results of a study for the Musculoskeletal Tumor Society6 that showed that the conditions of biopsy had not improved compared with those found in a similar study performed eleven years previously5. However, their Editorial lacked an analysis of why things have not improved and also lacked a strategy for change.
Their disappointment was directed toward the medical community, which has not listened to the message of orthopaedic oncologists regarding the value of referring patients who have a bone or soft-tissue tumor to specialized centers before biopsy or marginal excision. This is unfair, and we should instead analyze the message and how it has been conveyed. Changes in referral patterns will be brought about by the education of medical . . . [Full Text of this Article]

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