Journal of experimental & clinical cancer research : CR | 2024 | Zheng Z, Zeng Y, Bao X, Huang C
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[Indexed for MEDLINE] Conflict of interest statement: Declarations. Ethics approval and consent to participate: The study was conducted in accordance with the principles set forth in the Declaration of Helsinki and was approved by the Ethics Committee of Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology (TJ-IRB202401005). The experimental procedures involving animals were conducted in strict accordance with the U.K.'s Animals (Scientific Procedures) Act of 1986, as well as the European guidelines (2010/63/EU), and received approval from the Tongji Hospital Animal Welfare Ethics Committee at Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China (TJH-202306007). Consent for publication: No applicable. Competing interests: The authors confirm that there are no conflicts of interest. 12. Instr Course Lect. 2004;53:639-44. The biopsy. Scarborough MT(1). Author information: (1)Department of Orthopedic Surgery, University of Florida, Gainesville, Florida, USA. The biopsy of a musculoskeletal lesion is an important event, the outcome of which guides patient management and helps determine patient prognosis. The principles of biopsy include complete radiologic staging before the biopsy, thorough prebiopsy planning including consultation with the pathologist and radiologist, determining the most appropriate method of biopsy (fine needle, core needle, open surgical biopsy), placing the biopsy tract appropriately, and making sure the biopsy tract can be removed at the time of resection, avoiding contamination of uninvolved structures, avoiding transverse incisions, preventing pathologic fracture, handling biopsy tissue appropriately, and considering referral before biopsy. The common errors of biopsy include sampling errors, postbiopsy hematomas, the use of transverse incisions, tumor implantation, and the treatment of an unsuspected sarcoma with prophylactic fixation. Thoughtful prebiopsy planning and careful completion of the biopsy can result in an expedient and accurate diagnosis. If the treating physician lacks significant expertise in performing biopsy and management of patients with musculoskeletal lesions, then referral to a musculoskeletal oncologist before biopsy should be considered.
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