Abstract
Background: Management of musculoskeletal tumors remains challenging for orthopedic surgeons. The aim of this cross-sectional study was to present the prevalence and localization of musculoskeletal disorders diagnosed and treated at a tertiary referral military hospital.Method: A total of 552 patients' medical records who presented to our clinic between 2009 and 2014 with the diagnosis of musculoskeletal tumors were retrospectively analyzed according to age, gender, bone/soft tissue localization, histopathological diagnosis, incidence, and treatment.Results: Of the cases diagnosed with tumor, 225 were soft tissue localized, 317 bone localized, and 10 tumor-like lesions. The most common primary benign soft tissue tumors were lipoma, ganglion, and giant cell tumor of tendon sheath, while the most common malignant soft tissue tumors were liposarcoma and synovial sarcoma, respectively. The most common primary bone tumors were osteochondroma, enchondroma, and simple bone cyst, while the most common malignant bone tumors were osteosarcoma, Ewing sarcoma and chondrosarcoma, respectively. Myositis ossificans was found as the most common tumor-like lesion.Conclusion: Descriptive data in musculoskeletal tumors is crucial in terms of improving treatment and reducing mortality. In this study, no significant difference was found between the data of tertiary military hospital regarding epidemiology of musculoskeletal system tumors and those from the literatures around Turkey.
Highlights
Musculoskeletal tumors including bone and soft tissue tumors are relatively rare pathologies among total world cancer incidence, the management should compromise great attention [1]
Military Hospital Experience at Musculoskeletal Tumors In Turkey, there are few centers dealing with the management of orthopedic oncology
Of primary soft tissue tumors of benign nature, 102 (53%) were localized in upper extremities and 89 (47%) were localized in lower extremities including hemangioma, giant cell tumor of the tendon sheath, lipoma, synovial chondromatosis, desmoid tumor, fibroma, pigmented villonodular synovitis, schwannoma, Morton neuroma, epidermal cyst, and ganglion (Tables 1, 2, 6), whereas 8 (24%) malignant soft tissue tumors were localized in upper extremity, and 26 (76%) were in lower extremity with the diagnosis of synovial sarcoma, dermatofibrosarcoma protuberans, rhabdomyosarcoma, clear cell sarcoma, Kaposi sarcoma, fibrosarcoma, adrenocortical carcinoma metastasis, and liposarcoma (Tables 1, 3, 7)
Summary
Musculoskeletal tumors including bone and soft tissue tumors are relatively rare pathologies among total world cancer incidence, the management should compromise great attention [1]. A large number of patients in these countries are treated by inexperienced surgeons who have little knowledge and update about musculoskeletal oncology principles [4, 5]. In Turkey, there are few centers dealing with the management of orthopedic oncology Among those centers, tertiary military hospital, is primarily responsible for the management of musculoskeletal tumors in military personnel and their families. Lack of subspecialized centers in military health system organization chart, the patients with a diagnosis of whether bone or soft tissue tumors in all around the country is referred to the tertiary military hospital. Management of musculoskeletal tumors remains challenging for orthopedic surgeons. The aim of this cross-sectional study was to present the prevalence and localization of musculoskeletal disorders diagnosed and treated at a tertiary referral military hospital
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