Case of Osteosarcoma of THIGH BONE
Presentation
- 18-year-old male
- Swelling and pain in right knee
Examination
- Tenderness right distal femur
- Lump arising from deep structure
- Knee ROM full
- Functional Pain present (pain on weight bearing increases)
Biopsy
Core needle Biopsy was done
HPE s/o Osteosarcoma
Staging investigation
HRCT Chest – no abnormality detected
Bone Scan – No abnormality detected
Summary and planning
Now this is case of osteosarcoma distal femur without metastasis.
Proper counselling was done regarding gravity of disease and planning and success rate. Pros and cons of treatment was discussed with patient and family.
Neo Adjuvant Chemo > Surgery > Adjuvant Chemotherapy was planned
Neo Adjuvant Chemotherapy – IAP protocol was started, in which Ifosfamide, Adriamycin & Cisplatin was given and 3 cycle was given preoperatively.
Post chemo swelling & pain was reduced and restaging was done and still non metastatic.
Surgery – Wide resection of distal femur and reconstruction with endoprosthesis was done.
Adjuvant Chemotherapy was given
Follow-up is going on
Till Now 1 years of follow up Patient is doing fine
Take Home Message
- Be positive
- Have faith on your doctor
- We treat, HE CURES
- Be Aware, Always look for Specialist
- We always with you during your FIGHT with SARCOMA
