Abstract
Background: Bone tumors are one of the intimidate challenge to the orthopedic surgeon. This call out for even more concern in resource poor settings, in economically developing nations. Weanalysedbone tumours and tumour like lesions, their demographic features likeage and sex distributions, anatomical sites of occurrence andtheir relative frequencies,clinico-pathological characteristics and histo-morphological features as seen in a tertiary care hospital of India. Methods : This is a retrospective study of 10 years in our department, of 216 cases of bone tumors, including primary bone tumors, metastatic lesions and tumor like lesions. Results : A total of 216 patients were studied aged 1 to 80 years. 114 (52.78%) patients were males and 102(47.22%) were females. Commonest bone tumor observed in our study was metastatic tumors 40/216 cases (18.52%).Commonest benign tumor in our study was osteochondroma 30/103 cases (29.13%) followed by giant cell tumor 27/103 cases (26.21 %). Commonest Primary malignant bone tumor in our study was Ewing’s tumor 11/48 cases (22.92%), followed by osteogenic sarcoma and myeloma 9 cases (18.75%) each. Fibrous dysplasia was seen to be commonly located at jaw bone and skull region 6/13 cases (46.15%) whereas aneurysmal bone cyst was located commonly at vertebra 6/10 cases (60%). Out of 40 cases of metastatic bone tumors, 15 cases (37.5%) showed metastasis from lung carcinoma, of which, non-small cell carcinoma made up of 80 % of the cases. Conclusion : Metastatic lesion is commonest bone tumor in our study. Commonest benign tumor was osteochondroma and giant cell tumor. Ewing’s tumor is commonest primary bone tumor and fibrous dysplasia in tumor like lesions of the bone. DOI: 10.21276/APALM.2017.972
Highlights
The evaluation and treatment of bone tumor is a crucial part of the core of orthopedics
Tumors of bone are infrequently encountered, they are of great significance because some of them assume an aggressive course and prove to be more lethal, with extensive metastasis
Soft tissue was separated from bone and was processed and blocks were prepared and stained with haematoxylin and eosin stain.The lesions have been classified according to WHO international classification of bone tumor 2013
Summary
The evaluation and treatment of bone tumor is a crucial part of the core of orthopedics. The wide spectrum of these tumors, their diverse origins from the multiple cell types found in bones coupled with the tendency of these tumors to produce overlapping anatomic pattern, make osseous neoplasm a complicated but highly challenging area from the point of view of morphological diagnosis. Bone tumors are one of the intimidate challenge to the orthopedic surgeon. This call out for even more concern in resource poor settings, in economically developing nations. We analysed bone tumours and tumour like lesions, their demographic features like age and sex distributions, anatomical sites of occurrence and their relative frequencies,clinico-pathological characteristics and histo-morphological features as seen in a tertiary care hospital of India
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