Limb salvage operation using intraoperative extracorporeal autogenous irradiated bone and tendon graft for myxoid liposarcoma on dorsum of foot
Autor: | Shinsuke Omori, Yasuhiko Tomita, Kenichiro Hamada, Nobuhito Araki, Makoto Emori, Susumu Joyama, Norifumi Naka, Ritsuro Ozaki |
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Rok vydání: | 2010 |
Předmět: |
medicine.medical_specialty
medicine.medical_treatment Soft Tissue Neoplasms Liposarcoma Transplantation Autologous Foot Diseases Tendons medicine Humans Orthopedics and Sports Medicine Podiatry Metatarsal Bones Aged Myxoid liposarcoma Bone Transplantation business.industry Soft tissue Tarsal Bones Anatomy Limb Salvage musculoskeletal system medicine.disease Liposarcoma Myxoid Tendon Surgery body regions Transplantation medicine.anatomical_structure Amputation Female Metatarsal bones Ankle business |
Zdroj: | The Foot. 20:90-95 |
ISSN: | 0958-2592 |
DOI: | 10.1016/j.foot.2010.06.001 |
Popis: | Foot and ankle sarcomas are conventionally treated with amputation. In this article, we report a case of myxoid liposarcoma on the dorsum of the foot treated by limb salvage operation with intraoperative extracorporeal autogenous irradiated bone and tendon grafts. The patient was a 76-year-old woman with a soft tissue tumor beneath the extensor tendons with attachment to the tarsal and metatarsal bones. The histological diagnosis was myxoid liposarcoma. Wide margin was achieved by splitting the tarsal and metatarsal bones into dorsal and plantar parts. The dorsal part of the bones and tendons was isolated from the resected material, irradiated ex-vivo and re-implanted into the host's bones and tendons. No local recurrence was detected around the irradiated bones and tendons during the follow-up at 36 months. The functional rating was 74% according to the ISOLS rating system. This method may be a better procedure for limb salvage operation of sarcomas on the dorsum of the foot. |
Databáze: | OpenAIRE |
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