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Primäre und sekundäre Knochengeschwülste

  • J. Freyschmidt

Zusammenfassung

Knochentumoren sind seltene Neoplasien und stellen daher eine erhebliche Herausforderung für den nichtspezialisierten Radiologen, Pathologen und Orthopäden dar. Die nicht seltene Isomorphie von Knochentumoren mit nichtneoplastischen tumorähnlichen Läsionen sowie stress- und entzündungsinduzierten Knochenveränderungen einerseits und die Polymorphie einzelner Entitäten erfordern eine sehr differenzierte radiologische Untersuchungsstrategie und Befundinterpretation, um einerseits unnötige Biopsien zu vermeiden und andererseits die Notwendigkeit einer Biopsie aufzuzeigen. Pathologe und Orthopäde brauchen vom Radiologen einen Befund mit Informationen über die exakte Lokalisation und Ausdehnung einer tumorsuspekten Läsion, deren Aggressivität sowie anhand spezifischer Merkmale wie z. B. eine bestimmte vom Tumor gebildete Matrix eine Verdachtsdiagnose. Ist die Diagnose mit Hilfe der Radiologie sicher zu stellen, dann muss sie vom Radiologen ggf. auch dem Pathologen gegenüber verteidigt werden.

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© Springer-Verlag Berlin Heidelberg 2016

Authors and Affiliations

  • J. Freyschmidt
    • 1
  1. 1.Klinikum Bremen-Mitte Beratungsstelle und ReferenzzentrumBremen

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