If you suspect that you might have a bone tumor, see your doctor as soon as possible for diagnosis and treatment.
The doctor will collect detailed information about your medical history. Be sure to include any medications you take, any history of tumors or cancers that you or family members may have had, and the symptoms you are experiencing.
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Your doctor will also perform a physical exam. The focus is on the tumor mass, tenderness in the bone, and any impact on your joints and range of motion. The doctor may want to examine other parts of your body to rule out the spread of any cancer.
Your doctor will probably obtain X-rays for further information. Each type of tumor can exhibit different characteristics on X-ray. Some dissolve bone or make a hole in the bone. Some cause an extra formation of bone. Some can result in a mixture of these findings. In other cases, it may be difficult to tell what kind of tumor is involved and additional imaging studies such as MRI (magnetic resonance imaging) or CT (computed tomography) could be called for.
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Insert first three X-ray images from https://health.uconn.edu/msi/clinical-services/orthopaedic-surgery/bone-tumors-and-oncology/benign-and-malignant-bone-tumors/. Figure 1a. 2a. 3.
Image Image Image An X-ray showing a tumor that has caused a saucer-like erosion in the end of the thighbone. A bone tumor in the middle of the femur exhibiting a combination of characteristics is displayed in an X-ray. A fracture through a tumor in the middle of the upper arm bone shown on X-ray.
Your doctor may also request blood and urine tests. If these tests are not adequate to diagnose a tumor, your doctor may request a biopsy. A biopsy is the removal of a sample of tissue from the tumor. The tissue sample is then examined under a microscope. There are two methods for completing a biopsy:
- Needle Biopsy – A needle is inserted into the tumor to remove a sample of tissue. This may be done under local anesthesia in the doctor’s office or it can be done by a radiologist who uses an X-ray machine, CT scanner, or MRI scanner to direct the needle to the tumor.
- Open Biopsy – The doctor removes tissue in a surgery. This is typically done through a small incision using general anesthesia in an operating room.
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