Tratamento de Osteossarcoma Pélvico
Keywords:
Internai Hemipelvectomy, Osteosarcoma, Hindquarter AmputationAbstract
Less than 5% of the malignam bones tumors are in the pelvic bones. The autors presem a case reporc ofa 20 years old patient who has an osteosarcoma ofche iliac bone. This patienr was treaced by preoperative chemotherapy, interna! hemipelvectomy and postoperative chemoterapy. This pacient was free of disease for 2 years afcer creatment. However, he had a local recurrence, without metastasis, and was submicted to another trearmenr wirh chemoterapy and radical surgery ( hindquarrer amputation). Now, he is in che rhird month postoperative and receiving chemotherapy. The pelvic osteosarcoma has a worse prognosis rhan rhe exrremiry osreosarcoma, and it remains one of the greatest challenges in orthopaedic oncology.
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References
Schajowicz Fritz. Neoplasias ósseas e lesões pseudotumorais:patologia, radiologia e tratamento. 2'· ed. Rio de Janeiro: Revinter, 2000.
Lopes A, Penna V, Rossi BM, Chung WT, Tanaka MH. Hemipelvectomia interna total no tratamento de osteossarcoma localmente avançado do osso ilíaco. Rev Bras Ortop. 1993; 28:825 - 828.
Cassone AE, Tella G , Mesetti C , Biagini R , Ruggieri P , Picci P. Osteossarcoma pélvico. Rev Bras Ortop. 1994;29:813- 816.
Lopes A , Penna V , Rossi BM , Chung WT , Tanaka MH. Hemipelvectomia total interna no tratamento dos tumores malignos da região pélvica. Rev Bras Orcop. 1994; 29:787 - 790.
Prospero JD. Tumores ósseos. São Paulo: Roca, 2001.
Gentil FC, Lopes A, Epifânio ITE et al. Amputação interilioabdominal:técnica e tática operatórias. Acta Oncol Bras. 1987; 7:118-122.
Gentil FC, Sá AOS, Lopes A et al. Desarticulação coxofemural: técnica e tática operatórias. Acta Oncol Bras. 1987;7:7-12.
Lopes A. Atualidades em tratamento do osteossarcoma. Âmbito hospitalar. 1992; 48:5-8.
Benjamim RS, Chawla S, Murray J et al. Preoperative schemotherapy for osteosarcoma:a treatment approach fascilitating limb salvage with major prognostic implications. ln:Jones SE & Salmon SE. Adjuvam therapy of cancer IV. New York:Grune & Stratton; 1984. p. 601-610.
O. PecrilliAS, Gentil FG, Epelmans S ec ai. Increased survival, limb preservacion and prognostic factors for osreossarcoma. Cancer. 1 991; 68: 733-737.
1. PerrilliAS, PennaV, Lopes A ec ai. IIB Osceosarcoma currenc managemenc, local concrol and survival staciscics. Clin Orchop. 1991; 270:60-66.
Eilber FR, Grane TT, Sakai D ec ai. Internai hemipelvectomy-excision of the hemipelvis wich limb preservation. Cancer. 1 979; 43: 806-809.
Enneking WF, Durham WK. Resection and reconstrution for primary neoplasms involving the innominate borre. J Bone Joinc Surg. 1 978; 60A : 731-746.
A yala A , Machay B, Jaffe N. Osreosarcoma:che pathological study ofspecimen from on bloc resecrion in patiencs receiving preoperative schemocherapy. ln: Van Eys J & Sullivan MP. Status of curabilicy ofchildhood cancers. New York: Raven Press; 1 980. p. 127-143.
5 . Huvos A , Rosen G, Marcovi RC. Primary osceogenesis sarcoma:pathologic aspects in 20 pacients after creatmenc with schemotherapy on bloc resection wich prosthetic borre replacement. A rch Pathol Lab Med. 1977; 1 0 1 : 14-18.
Grimer RJ, Carcer SR, Tillman RM, Spooner D, Mangham DC, Kabukcuoglu Y. Osteosarcoma of che pelvis. J Bone Joint Surg Br. 1 999; 8 1 : 796-802.
