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the standard work-up provides the basis for staging of the patient and determining the treatment strategy. The first step is the decision in a multi-disciplinary meeting on whether surgery is required. Radiotherapy is the treatment of choice for small
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. Radiotherapy and medical treatments Many treatments have been proposed since the first description of this disease. The results of the accurate systematic review of the literature were summarized in a diagnostic and treatment algorithm ( Fig. 5 ). Figure 5
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with an involved margin In the first two situations, re-excision has been successful and the only decision is whether further adjuvant therapy is needed. In most cases of a high-grade tumour, radiotherapy should be considered, especially for
University of Basel, Basel, Switzerland
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The Bone and Soft Tissue Tumor Center of the University of Basel (KWUB), Basel, Switzerland
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Department of Radiology, University Hospital Basel, Basel, Switzerland
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Clarunis, University Digestive Health Care Center, St. Clara Hospital and University Hospital Basel, Switzerland
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The Bone and Soft Tissue Tumor Center of the University of Basel (KWUB), Basel, Switzerland
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was insufficient to explain the extensive hemorrhage within the lesion. Therefore, a second biopsy was conducted promptly, revealing a synovial sarcoma with extensive hemorrhage and necrosis. Neoadjuvant chemotherapy, neoadjuvant radiotherapy, and
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terms of (i) time of surgery and fluoroscopy exposure, (ii) incidence and types of complications, and (iii) response to radiotherapy (callus formation and local control of the disease). Materials and methods All oncologic patients treated with IM
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bone. In the past, mostly palliative treatments, radiotherapy and pain relief were favoured. Nowadays, modern diagnostic tools (PET-CT, whole body MRI, etc) are included in the follow-up protocols allowing for early detection of bony metastases. Besides
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high-grade STS is surgery, complemented by radiotherapy (RTX) and in selected cases chemotherapy (CTX). Surgery Over the last 30 years, amputation has progressively become less important and has been mostly replaced by limb-sparing procedures in
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Bone tumours around the elbow are rare. Even nowadays diagnostic dilemmas and delays are common. During recent decades the management and prognosis of patients with elbow bone tumours has improved significantly.
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Benign tumours can be treated using minimally invasive procedures, whereas malignant ones require a multidisciplinary team approach based on an adjuvant therapeutic regimen of chemotherapy, radiotherapy and limb salvage procedures.
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This article reviews the most commonly encountered elbow bone tumours and their management.
Cite this article: EFORT Open Rev 2019;4:133-142. DOI: 10.1302/2058-5241.4.180086
University Emergency Hospital Bucharest, Romania
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Elias University Emergency Hospital, Bucharest, Romania
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in the operative field following resection according to follow-up radiographic evidence, a physical exam, or self-reported symptoms. Recurrence can occur after R0 resection, R1 (marginal) resection followed by radiotherapy and also after R2
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, and radiotherapy. Fibrin glue consists of two separate solutions of fibrinogen and thrombin, which, when mixed, mimic the final stages of the clotting cascade to form a fibrin clot. This clot may produce haemostasis and promote wound healing. 30
