The Musculoskeletal Tumour Society staging system

The MSTS (Enneking) staging system for sarcomas is another exam classic.  This is a very straightforward system which allows the user to describe the extent of the tumour locally and systemically. Tumours are either low grade (Stage 1, <15% risk of metastasis), high grade (Stage 2, >15% risk of metastasis) or metastatic (Stage 3).

Intracompartmental tumours are classified as “A” and extracompartmental tumours as “B”.

For example, an osteosarcoma of the distal femur, which has an associated soft tissue mass but no detectable metastases would be staged as “2B” in this system.

Other systems include the AJCC system for staging.

Reference:

Enneking WF, Spanier SS, Goodman MA. Current concepts review. The surgical staging of musculoskeletal sarcoma. J Bone Joint Surg Am 1980;62(6):1027-30.

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