Even when benign tumors of the musculo-skeletal system are included, the incidence of these conditions pales in comparison to trauma, spine, hand and upper extremity, total joints, and even pediatric orthopedics. In addition, the incidence of nononcologic conditions that orthopedist see, continues to increase, while the incidence of primary malignant bone and soft tissue tumors has remained stable for more than 30 years. In an era emphasizing on evidence-based medicine, the rarity of primary malignant bone and soft-tissue tumors makes the development of established protocols nearly impossible.
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