Successful Limb-Sparing Wide Excision of a Giant Lipofibromatosis in a 5-Year-Old Girl
Autor: | Adiputra Pat |
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Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: |
medicine.medical_specialty
Wide excision media_common.quotation_subject medicine.medical_treatment Case Report lcsh:RC254-282 030207 dermatology & venereal diseases 03 medical and health sciences Distal femur 0302 clinical medicine medicine Limb salvage Girl Fibula Amputation media_common Calcaneal region business.industry lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens Surgery body regions Left limb Oncology 030220 oncology & carcinogenesis Lipofibromatosis business |
Zdroj: | Case Reports in Oncology, Vol 11, Iss 1, Pp 179-184 (2018) Case Reports in Oncology |
ISSN: | 1662-6575 |
Popis: | A 5-year-old girl presented with a big painless mass, sized 24 × 37 × 35 cm, in her lower left limb. MRI revealed a huge heterogeneous mass splaying from the left distal femur to the calcaneal region without bony erosion but compressing the arteries and causing bowing of the left tibia and fibula bones. The difficulty was to determine the best course of action taken which would either be limb salvation or amputation. Considering that only a few muscles could be saved, the author initially recommended amputation but still considered a limb-sparing procedure. After a double set-up examination in the operating room, the author ultimately decided to save the affected limb. The salvaged limb was found to be viable after the surgery, and there was no further recurrence over a subsequent 6-month follow-up period. The careful surgical decision is vital in giving the best possible care to the patient. |
Databáze: | OpenAIRE |
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