Analysis of tumor-like lesions in Orthopedics

INTRODUCTION: The purpose of this study was to assess the cases that were examined with a prediagnosis of tumor but were found to have tumor-like lesions as a result of pathological examination.
METHODS: 349 cases that had undergone advanced examination with a prediagnosis of bone and soft tissue tumor and had been found not to have tumor between January 1987 and January 2012 were examined retrospectively. The cases were assessed in terms of age, gender, localization, pathological diagnosis and features. The data were analyzed by SPSS 15.0. Shapiro-Wilk test was used to find out whether the data were distributed normally.
RESULTS: 175 (50.1%) of 349 cases were men, while 174 (49.9%) were women and the average age was 35.3. 101 (28.9%) of the lesions were localized in the femur and thigh while 56 (16%) were localized in tibia, fibula and calf. Results of the examinations of lesions showed that 79 (22.6%) were normal tissue, 74 (21.2%) were inflammatory and 63 (18.1%) were osteomyelitis. Our data showed that infections and normal tissue reaction were most commonly mistaken for tumor.
DISCUSSION AND CONCLUSION: Each case with the clinic and features which bring to mind bone and soft tissue tumor should be accepted as tumor unless otherwise proven and advanced examination and treatment should be organized accordingly. This approach will allow the early diagnosis and treatment of tumor which causes morbidity and mortality.

Ortopedik tümör benzeri lezyonlarýn analizi

GÝRÝÞ ve AMAÇ: Kliniðimizde tümör ön tanýsý ile incelenen ve patolojik inceleme sonucu tümör benzeri lezyon saptanan olgularýn deðerlendirilmesi amaçlandý.
YÖNTEM ve GEREÇLER: Ocak 1987-Ocak 2012 yýllarý arasýnda kemik ve yumuþak doku tümörü ön tanýsý ile ileri inceleme yapýlan 349 olgu retrospektif olarak incelendi. Olgular yaþ, cinsiyet, lokalizasyon, patolojik taný ve özellikleri açýsýndan deðerlendirildi. Elde edilen veriler SPSS 15.0 sistemine aktarýlarak analiz edildi. Verilerin normal daðýlýma uyup uymadýðý Shapiro-Wilk testi ile deðerlendirildi.
BULGULAR: 349 olgunun 175’i (%50.1) erkek, 174’ü (%49.9) kadýn ve yaþ ortalamasý 35.3 idi. Lezyonlarýn 101’i (%28.9) femur ve uylukta, 56’sý (%16) tibia, fibula ve baldýrda lokalize idi. Lezyonlarýn incelenmesi sonucunda 79’unun (%22.6) normal doku olduðu, 74’ünün (%21.2) iltihabi olay, 63’ünün (%18.1) ise osteomiyelit olduðu görüldü. Verilerimiz tümör ile en çok enfeksiyon ve normal doku reaksiyonunun karýþtýðýný gösterdi.
TARTIÞMA ve SONUÇ: Kemik ve yumuþak doku tümörünü þüphelendiren kliniðe ve özelliklere sahip olan her olgu aksi ispat edilene kadar tümör kabul edilerek bu yönde ileri tetkik ve tedavisi düzenlenmelidir. Bu yaklaþým morbidite ve mortaliteye sebep olan tümörün erken taný ve tedavisine olanak saðlayacaktýr.