The tactics and technique of musculoskeletal biopsy
#MMPMID28461968
Exner GU
; Kurrer MO
; Mamisch-Saupe N
; Cannon SR
EFORT Open Rev
2017[Feb]; 2
(2
): 51-57
PMID28461968
show ga
The treatment of musculoskeletal neoplasms and infection is usually based on an
initial diagnostic biopsy.Prior to biopsy, a hypothesis should be formed about
the most likely diagnosis and a differential diagnosis. These deliberations
should consider whether the lesion is a primary benign or malignant tumour, a
metastasis, a haematological problem or an infection.A tactical plan should be
developed which evaluates the necessity, the risk, the approach and finally
defines the technique of biopsy most likely to achieve a representative result in
the clinical case.In developing this technical approach, the pitfalls should be
anticipated, i.e. inadequate sampling, difficulty of pathological interpretation
and contamination.The tactical approach should be developed in conjunction with a
multi-disciplinary team together with appropriate pre-biopsy imaging. Cite this
article: EFORT Open Rev 2017;2:51-57. DOI: 10.1302/2058-5241.2.160065.