Osteosarcoma is the most common bone cancer. It is common in adolescents and is often multiple. The tumor is spindle-shaped and can involve the periosteum, cortical bone and medullary cavity. It develops rapidly and is highly malignant. For osteosarcoma, early and clear diagnosis and active and effective treatment are the keys to successful treatment. Osteosarcoma is common in the epiphyseal ends of the long bones of the limbs. There are some symptoms in the early stages of the disease, and they show a certain regularity. As long as we improve our understanding of the disease and raise our vigilance, we can detect and treat it early. So, what are the early signs of osteosarcoma? Early symptoms of osteosarcoma are more subtle Judging from the clinical data, Professor Wang Dahui lamented that the early symptoms of osteosarcoma are relatively hidden, and most children are in the middle and late stages of the tumor, and are prone to early lung metastasis. "Some children are sent to the hospital for examination and screening because of trauma, but most children have no symptoms, which makes children with osteosarcoma often experience pain or lumps in the middle and late stages." The symptoms of osteosarcoma depend on the size, location and spread of the tumor. 2. Swelling or lumps at the tumor site; 3. Obvious pain when moving or lifting a limb; 4. Lameness; 5. Reduced activity of the affected limb. "Children with these symptoms should be treated promptly, especially if they have fixed pain in one place. Don't mistake it for 'growing pains' and delay early detection and treatment." Specialized institutions can provide better diagnosis and treatment Many doctors are not familiar with osteosarcoma and other malignant bone tumors. Professor Wang Dahui suggested that if a child is found or suspected to have osteosarcoma in a general outpatient clinic, he or she should be promptly referred to an experienced professional institution for diagnosis and treatment. According to the symptoms and signs of the child, a comprehensive and comprehensive examination and evaluation is required to determine the type of tumor and whether it has metastasized, including X-ray and MRI examinations of the painful and/or swollen areas to understand the scope of the tumor and adjacent tissues in detail; CT examination of the chest or other parts to determine whether there is diffuse metastasis. Whole body bone scan to determine bone metastasis; ultimately a biopsy or surgical biopsy is required to determine the nature and type of the tumor; blood tests, heart function tests, hearing tests, and kidney function tests are required after diagnosis and before chemotherapy. Osteosarcoma can be divided into three types according to the outer bone, bone surface and bone marrow cavity: 1. Parosteal osteosarcoma: originates from soft tissue, then enters the bone, grows slowly and eventually invades the bone. 2. Periosteal osteosarcoma: originates from the dense bone around the periosteum, which is rich in blood vessels and nerves. It is more aggressive than parspondyloarthritis and is usually located in the proximal leg bones. Intraosseous osteosarcoma. There are 9 pathological types: osteoblastic, chondroblastic, fibroblastic, vasodilator and joint. Other types include common osteosarcoma, high-grade variant osteosarcoma, well-differentiated osteosarcoma, etc. 1. Unexplained pain in the extremities of the bones. The pain may be dull or dull, deep in the body, intermittent at first, then gradually worsen and become continuous. Severe pain may be accompanied by limited movement of adjacent joints. 2. Limb pain after trauma, which does not ease but worsens over time; 3. Limb pain is more severe at night than during the day; 4. Long-term fever of unknown cause; 5. Swelling occurs soon after the pain, the local skin temperature rises, becomes red and congested, and the veins become dilated; 6. Osteolytic osteosarcoma erodes the bone cortex, causing pathological fractures in the early stages of the disease. It is worth noting that adolescents may also experience pain symptoms due to bone growth, and other bone diseases may also cause one or more of the above symptoms. Therefore, we should not take it lightly, nor should we be overly cautious. When the above symptoms occur, we should go to the hospital in time to treat the disease if there is any, and prevent it as soon as possible if there is no disease, so as not to miss the opportunity for treatment. |
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