Tumor Workup

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Tumour Workup

  1. Clinical examination (age, sex, site and past history)

     

    • Thyroid
    • Breasts
    • Chest
    • Liver
    • Kidney
    • Rectal (prostate & rectal tumours) 
  2. Bloods

     

    • FBC (leukaemic cells etc)
    • ESR (often elevated)
    • Biochemistry (Ca++, PO4, liver enzymes and Alkaline Phosphatase) -> mets
    • Acid Phosphatase (prostate and increased with metastatic deposits)
    • Thyroid function tests
    • PSA
    • Serum Protein Electrophoresis (Myeloma)
  3. Urinalysis
  4. Urine Bence-Jones (myeloma)
  5. CXR
  6. Abdominal ultrasound
  7. Bone scan -> other sites
  8. MRI -> soft tissue extent and association with nerves and vessels
  9. CT of lesion and chest (-> staging)
  10. Angiography -> tumour blood supply and relationship to major vessels
  11. Biopsy

Radiological Investigations

Biopsy of Bone Tumours
 

Surgical Procedures of Bone Tumors
 

 

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