Salvation surgery treatment in osteosarcoma of the fibula with seventeen years survival.
Introduction: Osteosarcoma is the most frequent prlmary bony tumor with two plcks of Incidence, one around the 15 years (adolescents) and another in oid people. Ciinical case: Patient of 14 years with pain clinic in proximal fibula. It was diagnosed by radiological studies and biopsy of lo...
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| Autores principales: | , , , , |
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2019
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| Materias: | |
| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/26287 |
| Aporte de: |
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I10-R327-article-26287 |
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| institution |
Universidad Nacional de Córdoba |
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I-10 |
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R-327 |
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Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
osteosarcoma osteogenic sarcoma salvaje surgery survival osteosarcoma sarcoma osteogénico cirugía de salvación supervivencia |
| spellingShingle |
osteosarcoma osteogenic sarcoma salvaje surgery survival osteosarcoma sarcoma osteogénico cirugía de salvación supervivencia Lumbreras, Ruth Castro, Ángel Val, Sami Modrego, Francisco J Bello, María L Salvation surgery treatment in osteosarcoma of the fibula with seventeen years survival. |
| topic_facet |
osteosarcoma osteogenic sarcoma salvaje surgery survival osteosarcoma sarcoma osteogénico cirugía de salvación supervivencia |
| author |
Lumbreras, Ruth Castro, Ángel Val, Sami Modrego, Francisco J Bello, María L |
| author_facet |
Lumbreras, Ruth Castro, Ángel Val, Sami Modrego, Francisco J Bello, María L |
| author_sort |
Lumbreras, Ruth |
| title |
Salvation surgery treatment in osteosarcoma of the fibula with seventeen years survival. |
| title_short |
Salvation surgery treatment in osteosarcoma of the fibula with seventeen years survival. |
| title_full |
Salvation surgery treatment in osteosarcoma of the fibula with seventeen years survival. |
| title_fullStr |
Salvation surgery treatment in osteosarcoma of the fibula with seventeen years survival. |
| title_full_unstemmed |
Salvation surgery treatment in osteosarcoma of the fibula with seventeen years survival. |
| title_sort |
salvation surgery treatment in osteosarcoma of the fibula with seventeen years survival. |
| description |
Introduction: Osteosarcoma is the most frequent prlmary bony tumor with two plcks of Incidence, one around the 15 years (adolescents) and another in oid people. Ciinical case: Patient of 14 years with pain clinic in proximal fibula. It was diagnosed by radiological studies and biopsy of located osteosarcoma with infiltration of cortical and periostlum and extension toward fibula epiphysis. After preoperatory chemotherapy she was carried out tumoral resection with inargins of 5 cm. foliowing approaches of Enneking (surgery of salvation of the member). Several cycles of chemotherapy were completed after surgery. The patient, after seventeen years, is free of illness. Discussion: Traditionally in the reatment of the located osteosarcoma you proceeded to the radical amputation for norm. At the moment due to the advances of the surgical and diagnostic techniques (able to detect recociously the local and distant dissemination of the tumor) it is possible to make other therapeutic modalities that preserve the member until in 90% of the patients. Thanks to the use of the chemotherapy the rate of survival nowadays approaches to 70% in those cases diagnosed previously to the metastasis appearance. At the moment in those cases tu which the illness is located, the tumoral size is reduced and have a good answer to the preoperatroy chemotherapy, It is more advisable to opt for a surgery of salvation of the limb making a wise resection at distance of the margins of the tumor and accompanying it of cycles of combined chemotherapy. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2019 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/26287 |
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I10-R327-article-262872024-08-27T18:26:57Z Salvation surgery treatment in osteosarcoma of the fibula with seventeen years survival. Cirugía del salvación del miembro en el tratamiento de osteosarcoma de peroné con supervivencia a los diecisiete años. Lumbreras, Ruth Castro, Ángel Val, Sami Modrego, Francisco J Bello, María L osteosarcoma osteogenic sarcoma salvaje surgery survival osteosarcoma sarcoma osteogénico cirugía de salvación supervivencia Introduction: Osteosarcoma is the most frequent prlmary bony tumor with two plcks of Incidence, one around the 15 years (adolescents) and another in oid people. Ciinical case: Patient of 14 years with pain clinic in proximal fibula. It was diagnosed by radiological studies and biopsy of located osteosarcoma with infiltration of cortical and periostlum and extension toward fibula epiphysis. After preoperatory chemotherapy she was carried out tumoral resection with inargins of 5 cm. foliowing approaches of Enneking (surgery of salvation of the member). Several cycles of chemotherapy were completed after surgery. The patient, after seventeen years, is free of illness. Discussion: Traditionally in the reatment of the located osteosarcoma you proceeded to the radical amputation for norm. At the moment due to the advances of the surgical and diagnostic techniques (able to detect recociously the local and distant dissemination of the tumor) it is possible to make other therapeutic modalities that preserve the member until in 90% of the patients. Thanks to the use of the chemotherapy the rate of survival nowadays approaches to 70% in those cases diagnosed previously to the metastasis appearance. At the moment in those cases tu which the illness is located, the tumoral size is reduced and have a good answer to the preoperatroy chemotherapy, It is more advisable to opt for a surgery of salvation of the limb making a wise resection at distance of the margins of the tumor and accompanying it of cycles of combined chemotherapy. Introducción: El osteosarcoma es el tumor óseo primario más frecuente habiendo dos picos de incidencia, uno en torno a los 15 años (adolescentes) y otro en ancianos. Caso clínico: Paciente de 14 años con clínica de dolor en región proximal de peroné. Se diagnosticó mediante estudios radiológicos y biopsia osteosarcoma localizado con infiltración de cortical y periostio y extensión hacia epífisis de peroné. Tras quimioterapia preoperatorlo se realizó exéresis tumoral con márgenes de 5 cm. Siguiendo criterios de Enneking (cirugía de salvación del miembro). Completamos varios ciclos de quimioterapia postoperatoria. La paciente está libre de enfermedad a los diecisiete años. Discusión: Años atrás en el tratamiento del osteosarcoma localizado se procedía a la amputación radical por norma. Actualmente debido al avance de las técnicas quirúrgicas y diagnósticas (capaces de detectar precozmente la diseminación local y a distancia del tumor) es posible efectuar otras modalidades terapéuticas que preservan el miembro hasta en el 90% de los pacientes, gracias al uso de la quimioterapia la tasa de supervivencia hoy día se aproxima al 70% en aquellos casos diagnosticados previamente a la aparición de metástasis. Actualmente en aquellos casos en los cuales la enfermedad esté localizada, el tamaño tumoral sea reducido y haya una buena respuesta a la quimioterapia preoperatorla es más aconsejable optar por una cirugía de salvación del miembro haciendo una prudente resección a distancia de los márgenes de la tumoración y acompañándola de ciclos de quimioterapia combinada. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2019-11-06 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/26287 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 64 No. 1 (2007); 38 - 41 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 64 Núm. 1 (2007); 38 - 41 Revista da Faculdade de Ciências Médicas de Córdoba; v. 64 n. 1 (2007); 38 - 41 1853-0605 0014-6722 spa https://revistas.unc.edu.ar/index.php/med/article/view/26287/28068 Derechos de autor 2019 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0 |