Log in

Assessment of Medical Students' Knowledge of Imaging Methods for Bone Sarcomas

  • Published:
Journal of Cancer Education Aims and scope Submit manuscript

Abstract

Cancer is a leading cause of death in Brazil and worldwide. However, Brazilian medical education fails to include oncology as an essential topic. This creates a gap between the health status of the population and medical education. Bone sarcomas fall into both the group of malignant neoplasms and rare diseases and are thus doubly influenced by misinformation. To assess medical students' knowledge of imaging diagnostic methods for bone sarcomas. A cross-sectional, quantitative study was undertaken by obtaining the responses of medical students to a questionnaire containing radiographic images and questions about the radiological aspects of bone sarcomas. The categorical variables were compared using the chi-square test. The level of significance was 5% for all the tests. SPSS software version 25.0 was used for the analysis. A total of 325 responses were collected, with 72% of the participants having no interest in oncology and 55.6–63.9% not knowing how to diagnose a periosteal reaction on bone radiography. Only 11.1–17.1% of the students correctly interpreted the radiographic image of osteosarcoma. Medical students fail to correctly interpret images of bone sarcomas. It is important to promote oncology undergraduate education in general and to include the approach to bone sarcomas in this context.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Data Availability

The data that support the findings of this study are available from the corresponding author, APDL, upon reasonable request.

References

  1. Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, Bray F (2021) Global Cancer Statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin 71(3):209–249. https://doi.org/10.3322/caac.21660

  2. (2022) Instituto Nacional de Câncer - INCA. INCA estimates 704,000 cases of cancer per year in Brazil by 2025. Estimativa 2023 – Incidência de Câncer no Brasil. 1–1

  3. Nogueira-Rodrigues A, Morais Albuquerque R, Clara RO, Gelatti A, Cesar De Andrade Mota A, Pacheco Pereira B, et al. Oncology education in Brazilian medical schools Educação oncológica nas escolas médicas brasileiras. Oncology education in Brazilian medical schools Brazilian Journal of Oncology | [Internet]. 16:20200037. Available from: http://www.brazilianjournalofoncology.com.br

  4. Wainstein AJA, Azevedo SJ, Marta GN, Canary PC, Nogueira-Rodrigues A, Sternberg C, et al. Oncology teaching in undergraduate medical school-Proposed discipline Ensino de oncologia na graduação em medicina-Disciplina proposta. Brazilian Journal of Oncology | [Internet]. 16:20200033. Available from: http://www.brazilianjournalofoncology.

  5. David BBL, Abdon Mello C, Santos Thuler LC, de Melo AC (2022) Overview of Adult Sarcoma Burden and Clinical Pathways in Brazil. JCO Glob Oncol 8:2100387. https://doi.org/10.1200/GO.21.00387

    Article  Google Scholar 

  6. Sbaraglia M, Bellan E, Dei Tos AP (2021) The (2020) WHO Classification of Soft Tissue Tumours: News and perspectives. Pathologica. Pacini Editore S.p.A./AU-CNS. 113;70–84

  7. Balmant NV, Reis R de S, Santos M de O, Maschietto M, de Camargo B (2019) Incidence and mortality of bone cancer among children, adolescents and young adults of Brazil Clinics 74

  8. Wustrack R, Cooper K, Weber K (2016) Molecular markers in bone and soft-tissue tumors. Vol. 4, JBJS Reviews. Journal of Bone and Joint Surgery Inc

  9. Eiras Martins G, Perez V (2012) Follow-up of treated osteosarcoma patient. Acta Ortop Bras 235–9

  10. Rainusso N, Wang LL, Yustein JT (2013) The adolescent and young adult with cancer: state of the art - bone tumors. Curr Oncol Rep 15(4):296–307. https://doi.org/10.1007/s11912-013-0321-93.DorfmanHD,CzerniakB,KotzR,Vanel)

    Article  PubMed  Google Scholar 

  11. Rosenberg A (2017) Bone Sarcoma Pathology: Diagnostic Approach for Optimal Therapy. Am Soc Clin Oncol Educ Book 794–8

  12. Amer KM, Munn M, Congiusta D, Abraham JA, Basu MA (2020) Survival and Prognosis of Chondrosarcoma Subtypes: SEER Database Analysis. J Orthop Res 38(2):311–319

    Article  PubMed  Google Scholar 

  13. Ferguson J (2018) Bone Cancer: Diagnosis and Treatment Principles. Am Acad Family Phys 98(4):205–213

    Google Scholar 

  14. Walczak BE, Irwin RB (2013) Sarcoma chemotherapy. J Am Acad Orthopaedic Surgeons. 21:480–91

    Article  Google Scholar 

  15. Goedhart LM, Gerbers JG, Ploegmakers JJW, Jutte PC (2016) Delay in Diagnosis and Its Effect on Clinical Outcome in High-grade Sarcoma of Bone: A Referral Oncological Centre Study. Orthop Surg 8(2):122–128

    Article  PubMed  PubMed Central  Google Scholar 

  16. Silvestrini AA, Rios Scherrer L, Moreira WB. The teaching of oncology at graduation: Brazilian panorama [Internet]. Vol. 8, Revista Brasileira de Oncologia Clínica <. Available from: http://bioestatistico@sboc.org.br.

  17. Kawai A, Higashi T, Shibata T, Yoshida A, Katoh Y, Fujiwara Y et al (2020) Rare cancers in Japan: definition, clinical features and future perspectives. Jap J Clinic Oncol. Oxford University Press 50:970–5

  18. Guedes A, Oliveira MBDR, Costa FM, de Melo AS (2021) Updating on Bone and Soft Tissue Sarcomas Staging. Revista Brasileira de Ortopedia. Georg Thieme Verlag. 56:411–8

  19. Bianchi S (2020) Ultrasound and bone: a pictorial review. J Ultrasound 23(3):227–257

    Article  PubMed  PubMed Central  Google Scholar 

  20. Yoshida S, Celaire J, Pace C, Taylor C, Kaneuchi Y, Evans S et al (2021) Delay in diagnosis of primary osteosarcoma of bone in children: Have we improved in the last 15 years and what is the impact of delay on diagnosis? J Bone Oncol 1:28

    Google Scholar 

  21. Vieth V (2019) The importance of radiology in bone sarcoma diagnostics: Initial and advanced diagnostics. Orthopade. Springer Verlag 48:727–34

  22. Nystrom LM, Reimer NB, Dean CW, Bush CH, Scarborough MT, Gibbs CP (2015) Evaluation of imaging utilization prior to referral of musculoskeletal tumors: A prospective study. J Bone and Joint Surg - Am Volume 97(1):10–15

    Article  Google Scholar 

  23. Weber K (2010) Evaluation of the Adult Patient (Aged >40 Years) With a Destructive Bone Lesion. J Am Acad Orthop Surg 18(3):169–179

    Article  PubMed  Google Scholar 

  24. Kalil LL, Prado EHM, Resende RVU, Pimenta MRC, Wainstein AJA, Drummond-Lage AP (2021) Melanoma Awareness Among Medical Students. J Cancer Educ 36(4):677–681

    Article  CAS  PubMed  Google Scholar 

  25. Liu P, Lin J, Nie Y, Cao Z, Xu X (2021) Awareness of thyroid cancer among medical students: A questionnaire-based study. Sci Prog 104(2)

  26. Rahman SA, Al-Marzouki A, Otim M, Khayat NEHK, Yousef R, Rahman P (2019) Awareness about breast cancer and breast self-examination among female students at the University of Sharjah: A cross-sectional study. Asian Pac J Cancer Prev 20(6):1901–1908

    Article  PubMed  PubMed Central  Google Scholar 

  27. Casali PG, Trama A (2020) Rationale of the rare cancer list: A consensus paper from the Joint Action on Rare Cancers (JARC) of the European Union (EU). ESMO Open 5(2)

  28. Gamboa AC, Gronchi A, Cardona K (2020) Soft-tissue sarcoma in adults: an update on the current state of histiotype-specific management in an era of personalized medicine. CA Cancer J Clin 70(3):200–229. https://doi.org/10.3322/caac.21605

Download references

Author information

Authors and Affiliations

Authors

Contributions

Pedro Alcântara Botelho Machado: Conceptualization, Methodology, Formal analysis, Investigation, Writing-original draft.

Gabriella Freitas Pereira Bartolomeu: Methodology, Investigation, Writing-original draft.

Alycia Madureira Handeri: Methodology, Investigation, Writing-original draft.

Alberto Julius Alves Wainstein: Conceptualization.

Ana Paula Drummond Lage: Conceptualization, Methodology, Formal analysis, Investigation, Writing-review and editing, Supervision.

Corresponding author

Correspondence to Ana Paula Drummond-Lage.

Ethics declarations

Conflict of Interest

The authors have no conflict of interest to disclaim.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Machado, P.A.B., Bartolomeu, G.F.P., Handeri, A.M. et al. Assessment of Medical Students' Knowledge of Imaging Methods for Bone Sarcomas. J Canc Educ 38, 1571–1576 (2023). https://doi.org/10.1007/s13187-023-02301-z

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13187-023-02301-z

Keywords

Navigation