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BODYCAST
- THE OFFICIAL JOURNAL OF THE CSOT
Orthopaedic
Oncology
By: Dr. Peter Ferguson
Abstract
Orthopaedic oncology is a highly subspecialized field within
orthopaedics dealing with tumours, benign and malignant, primary
and secondary, arising within the musculoskeletal system. Examples
of conditions that present include benign bone tumours such as
giant cell tumour and osteochondroma, malignant bone tumours such
as osteosarcoma and chondrosarcoma, metastatic bone tumoursfrom
primary sites in the breast, kidney, lung and prostate, and primary
soft tissue sarcoma arising in muscles and around joints.
Musculoskeletal
tumours are rare entities. Whereas cancer of the lungs accounts
for more than 20,000 new cases and 16,000 deaths in Canada annually,
primary malignant bone tumours occur in only 300 Canadians and
cause approximately 130 deaths on an annual basis. So why are
they of interest? The best answer to this question is to consider
the example of Terry Fox. Terry was a typical case of a patient
with osteosarcoma – young,
active, with much to contribute to society. The majority of musculoskeletal
tumours with which orthopaedic oncologists deal arise in young
patients, often in teenagers, and have profound effects on their
lives.
This abstract is a portion of the article
which appears in the Winter 2006 issue of BodyCast.
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