How to Differentially Diagnose Bone Cancer

With the progress of the times, people's living standards are getting higher and higher. In recent years, there are more and more bone cancer patients. Most of the patients with bone cancer have obvious symptoms in the middle and late stages. Even if you are not sick, you should pay attention to it. So how do we identify and diagnose bone cancer? Here is a brief introduction for everyone:

Some bone cancers are easier to diagnose, and a preliminary diagnosis can be made based on clinical examination alone, such as superficial osteomas or osteochondromas. Some have characteristics on X-rays, and a preliminary impression can be made based on typical X-ray findings, such as sclerotic osteosarcoma and chondrosarcoma. Some require a combination of clinical, X-ray and pathological analysis to make a correct diagnosis. Therefore, clinical, X-ray and pathological are considered to be the three important steps in diagnosing bone tumors, and sometimes none of them can be missing. Especially before considering the use of limb amputation surgery, it is generally necessary to undergo the above three aspects of examination to confirm the diagnosis before making a decision.

In terms of differential diagnosis, this disease should first be differentiated from inflammation. The key points for the diagnosis and differentiation of bone cancer are mainly the following four aspects:

(I) Systemic reaction: Patients with acute inflammation often have elevated body temperature and increased white blood cell counts, while patients with benign bone tumors have normal body temperature and normal blood counts. Patients with certain malignant bone tumors, such as undifferentiated reticulum cell sarcoma or rapidly growing malignant tumors, also have elevated body temperature and increased white blood cell counts. Acute and chronic inflammation and bone marrow often have increased ESR, while benign bone tumors often have normal ESR, while patients with malignant bone tumors often have increased ESR.

(ii) Development process: Inflammation usually subsides gradually after developing to a certain extent or after anti-inflammatory treatment. Some benign bone tumors may stop developing after developing to a certain extent, while malignant bone tumors continue to develop and destroy. It is extremely rare for them to stop or disappear on their own. This is one of the diagnoses of bone cancer.

(III) Local palpation: Inflammation often produces abscesses, which are generally soft and have obvious fluctuations. Bone tumors are generally hard or tough, have a solid feel when touched, and have clear borders. The bottom of the tumor is often adhered to the bone and cannot move. However, some malignant tumors with rich blood vessels or bleeding may also have a sense of fluctuation.

(IV) Puncture: Abscess puncture can often draw out pus, and pus culture or smear staining can sometimes detect pyogenic bacteria. Tumor puncture can only draw out blood, and puncture with a thick needle can sometimes draw out tumor tissue fragments. It is one of the diagnostic methods for bone cancer.

The above is a brief introduction to the diagnosis of bone cancer. For people who are related to the pathogenic factors of bone cancer, it is recommended to take preventive measures for bone cancer and receive specific treatment according to the doctor's instructions. I hope that patients can recover soon! If you have other questions about bone cancer, please consult our experts online or call for consultation.

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