The diagnosis of such patients is made by a biopsy, which is performed in addition to clinical and radiological evaluation. Although blood tests do not make a definitive diagnosis, they can support our diagnosis (Alkaline phosphatase and Lactic dehydrogenase height) and are used in the differential diagnosis from other lesions such as bone infection (CRP height). Radiologically, direct graphy (simple x-ray) is a must-have and medicated (contrast-enhanced) MRI is one of our routine examinations. We perform the biopsy procedure under anesthesia in the operating room with the help of a needle, often closed, accompanied by imaging (scopy). An experienced bone pathologist plays a vital role in evaluating the biopsy taken. Additional bone scintigraphy and lung tomography techniques are required for staging (whether there are other bone or lung metastases) from patients who have been diagnosed.