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Journal of Bone and Joint Surgery - British Volume, Vol 90-B, Issue 4, 484-487.
doi: 10.1302/0301-620X.90B4.20089  
Copyright © 2008 by British Editorial Society of Bone and Joint Surgery
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MRI surveillance after resection for primary musculoskeletal sarcoma

A. C. Watts, FRCS (Trauma & Orth), Specialist Registrar Orthopaedics1; K. Teoh, MB ChB, Foundation Year One1; T. Evans, FRCR, Consultant Clinical Oncologist2; I. Beggs, FRCR, Consultant Radiologist3; J. Robb, FRCS, Consultant Orthopaedic Surgeon4; and D. Porter, FRCS, Senior Lecturer and Honorary Consultant1

1 Department of Orthopaedic Surgery
2 Edinburgh Cancer Centre, Western General Hospital, Crewe Road, Edinburgh EH4 2XU, UK.
3 Department of Radiology, Royal Infirmary, 51 Little France, Old Dalkeith Road, Edinburgh EH16 4SU, UK.
4 Royal Hospital for Sick Children, 9 Sciennes Road, Edinburgh EH9 1LF, UK.

Correspondence should be sent to Mr A. C. Watts; e-mail: adamwatts{at}doctors.org.uk

This study reports the experience of one treatment centre with routine surveillance MRI following excision of musculoskeletal sarcoma. The case notes, MRI and histology reports for 57 patients were reviewed. The primary outcome was local tumour recurrence detected on either surveillance MRI in asymptomatic patients, or interval MRI in patients with clinical concern. A total of 47 patients had a diagnosis of soft-tissue sarcoma and ten of a primary bone tumour. A total of 13 patients (22%) had local recurrence. Nine were identified on a surveillance scan, and four by interval scans. The cost of surveillance is estimated to be £4414 per recurrence detected if low-grade tumours with clear resection margins are excluded. Surveillance scanning has a role in the early detection of local recurrence of bone and soft-tissue sarcoma.






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Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General