[Diagnostic standards for extradural tumors and metastases of the spinal column].
Because of the heterogeneous clinical and paraclinical symptoms accompanied by the urgent necessity to rapidly find a diagnosis, the differential diagnostic delineation of spinal tumors from back pain related to other reasons is a special challenge in the orthopedic practice. Employing an algorithm based on anamnesis, clinical, radiological and paraclinical examinations, a guideline-related biopsy as well as histological processing of the biopsy material, tumor lesions can usually be classified regarding entity, dignity and extent. Following this a treatment strategy can be defined. Because of the necessity of an interdisciplinary approach the diagnostic algorithm should be planned during a tumor conference and performed in specialized centers.
Centrum für Muskuloskeletale Chirurgie, Klinik für Orthopädie, Charité-Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Deutschland. michael.putzier@charite.de
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Haschke
D003937:Diagnosis, Differential; D003952:Diagnostic Imaging / Q000379:methods* / Q000592:standards*; D005858:Germany; D006801:Humans; D017410:Practice Guidelines as Topic; D013120:Spinal Cord Neoplasms / Q000175:diagnosis* / Q000556:secondary*; D013125:Spinal Neoplasms / Q000175:diagnosis* / Q000556:secondary*