Clinical-histopathological correlation musculoskeletal tumors 2003-2020

Abstract

Evaluation of neoplastic lesions begins with a history of the patient and a physical examination. The clinical evolution of tumor entities is related to their degree of malignancy, the associations of accelerated growth and pain generally correspond to malignant findings.

Objective: Explore the clinical-histopathological correlation of musculoskeletal tumors evaluated in the bone tumors unit of the La Trinidad Teaching Medical Center, from January 2003 to November 2019

Method: The research was longitudinal, retrospective, observational and descriptive. The population consisted of 157 patients, of which 173 (98.85%) histopathological studies were included for clinical correlation.

Results: The average age was 45 years. 58.38% female. The patients with malignant tumor lesions had an average age of 49.67 years and with benign lesions 30.52 years. The most frequent clinical manifestations were tumor mass in 39.31% and pain in 36.99%, finding that benign tumor lesions consulted (55.10%) for presenting a mass, and for malignant lesions pain was appreciated as a symptom preponderant (69.23%). 60, 69% of the neoplasms were located in the lower limb, with the femur being the most frequent bone location. Metastatic Carcinoma (13.87%), followed by Chondrogenic lesions (12.14%) were the lesions found with the highest frequency.

Conclusion: The patient's symptoms represent a fundamental factor in the diagnosis of musculoskeletal neoplasms, which cannot be considered in isolation, its relationship with histopathology and imaging studies is necessary for its diagnosis and management.