Clinical Diagnosis of Bone Tumor and X-ray Application for Patients with Bone Tumor

摘要

Objective: To analyze the application value of X-ray in the diagnosis of bone tumor for patients. Methods: With the retroactive analysis on the clinical data of 52 patients with bone tumor, which were accepted by the hospital and received X-ray examination from January 2013 to January 2014, the rate of accurate diagnosis through X-ray was calculated. Results: 25 out of 52 patients manifested benign bone tumor, accounting for 48.08%, while 27 patients were diagnosed to have malignant bone tumor, accounting for 51.92%. The rate of accurate diagnosis through X-ray was 88.46% (46/52). Conclusion: X-ray had very high value of application in the diagnosis of bone tumor for patients, and could provide reference for clinical diagnosis and therapy of bone tumor, so it was worth promotion. Orthopaedic surgeons often ask via telephone or online about what they should do when the postoperative pathological conditions are not as expected before operation after treating the bone and soft tissue tumors, or there are some unknown tumors. In the outpatient department of bone tumor, patients are often asked by local surgeons to seek a specialized hospital as soon as possible for better treatment scheme even before their stitches from operation are removed. As a surgeon specialized in bone tumor, the author firmly believes that we could provide better services for patients and avoid improper therapy if we attach importance to the standardization of clinical therapy and diagnosis of bone tumor, gather the complete images and data at the beginning of diagnosis and therapy, and utilize the histopathology for prudent diagnosis, identification and diagnosis. Bone tumor is a very rare tumor of kinetic system. The primary malignant bone tumors are represented by osteosarcoma, Ewing's sarcoma, and malignant fibrous histiocytoma, while benign bone tumors mainly include bone cyst, aneurysmal bone cyst, fibrous dysplasia of bone and other tumor-like diseases as well as giant cell tumor of bone. Among senior people, cancer with bone metastasis is the commonest disease. The primary malignant bone tumor, which often happens to teenagers and young adults, exists around the knee joint, so it severely affects the motor functions of patients. At the time of preliminary diagnosis and therapy, 80% of the patients have potential lung metastasis, and the long-term survival rate is lower than 20% if they receive the surgical treatment only. Before the 1970s, surgical treatment mainly relied on amputation, which caused the physical disability and functional disorders of patients. Along with the improved understanding about the biological behaviors of tumor, the progress of medical imaging technology, the soaring development of surgical techniques, and especially the application of chemotherapy in malignant tumors, all kinds of techniques for limb salvage had been constantly and successfully practiced to restore the functions of extremities for many patients, and the five-year survival rate was improved steadily to 70%. In the past, tumor treatment relied on the surgical removal of lesions, but the treatment method has been significantly changed today. Simple bone cyst happens to the metaphysic of children, and may reoccur and affect the development of extremities if it is not properly treated. In today's treatment, several intracapsular penetrations with needles are performed to scraping off the capsular walls for lavage, and methylprednisolone is injected to facilitate the self-healing of bone cyst.