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Comparison of radiologic and gross examination for detection of cancer in defleshed skeletons

Bibliographic Data

ID8318943
AuthorsBruce M Rothschild, Bruce Rothschild (0000-0003-1327-6615, University of Akron, corresponding author), Christine Rothschild (University of Akron)
Year1995
Volume96
Issue4
Pages357-363
Publication date1995-04-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueAmerican Journal of Physical Anthropology (JOURNAL)
Journal identifiersISSN: 0002-9483 • E-ISSN: 1096-8644
PublisherWiley (PUBLISHER • GB)
DOI10.1002/ajpa.1330960404
PMID7604891
OpenAlexW2166810286
LanguageEN
Citations received31
References cited14

The reliability of visual examination of defleshed bones was assessed for detection of postcranial metastatic disease in individuals known to have had cancer. This was compared with standard clinical radiologic techniques. The skeletons of 128 diagnosed cancer patients from an early 20th century autopsied skeletal collection (Hamann‐Todd Collection) were examined. Radiologic examination detected evidence of metastatic disease in 33 individuals, compared to 11 by visual examination of the postcranial skeletons. Four of these cases were detected by both techniques. Blastic lesions were most commonly overlooked on visual examination, because they were localized to trabecular (internal bone) structures. The ilium was the most commonly affected bone, with lytic or blastic lesions detected in 30 of 33 individuals. While the proximal femur was affected in only nine individuals, x‐ray of the proximal femur and ilium detected all individuals with postcranial evidence of metastatic disease. Skeletal distribution of metastases provides no clue to the location of origin or histologic subtype of the cancer. Survey of archeological human remains for metastatic cancer requires radiologic examination. Such skeletal surveys should x‐ray at least the ilia and femora. © 1995 Wiley‐Liss, Inc

Biology · Cancer · Femur · Gross examination · Pathology · Postcrania · Anatomy · Autopsy Techniques and Outcomes · Forensic Anthropology and Bioarchaeology Studies · Internal Medicine · Medicine · Osteomyelitis and Bone Disorders Research · Surgery

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Unique citing works31
Citations per year1,03
Citation span1996 - 2026 (31)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 27

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