Advances in clinical diagnosis of osteosarcoma.docVIP

 PAGE \* MERGEFORMAT 8 Advances in clinical diagnosis of osteosarcoma Osteosarcoma is a relatively rare tumor, only about 0.07% of all human malignancies, per million population, only patients with 1.8 to 2.7, but the field of orthopedics osteosarcoma is the most important and most representative tumors, because osteosarcoma usually occurs in teenagers, and generally considered a poor prognosis. so osteosarcoma to the patients themselves, the patient’s family and the society have brought the issue, a challenge for clinical diagnosis. In the past 35 years, clinical diagnosis of osteosarcoma progress has been made. This progress is the most important consequence of the five-year survival rate of patients with osteosarcoma around 20% from the previous close to 80% today Therefore, we need to look at the diagnosis of osteosarcoma in recent years, significant progress made in the 20th century model of osteosarcoma treatment. 1 osteosarcoma X-ray diagnosis For most patients, X-ray diagnosis can be made basic, the basic X-ray findings are as follows: (1) tumor of bone: bone tumor X-ray diagnosis of osteosarcoma is the most important essential basis, there are three main forms: ① ivory tumor-like bone mass, the highest density, the boundary more clearly, more common in the medullary cavity or tumor center, tumor differentiation of more mature bone; ② cotton wool tumor bone density is slightly lower, fuzzy boundaries, such as cotton-like, are divided over poor tumor bone; ③ needle-like tumor of bone, from the base outward, perpendicular to the cortical bone growth, can be acicular, radial, burr-like, curly beard-like or cross-shaped its formation to the soft tissue infiltration of tumor development, microvascular supply of the tumor growth perpendicular to the backbone, thus the formation of tumor blood vessels around the bone trabeculae are perpendicular to the backbone, common in poorly differentiated tumor of the bone area and bone within soft