Autor: |
Rexin Peter, Fuchs-Winkelmann Susanne, Schofer Markus D, Heyse Thomas J, Efe Turgay, Schmitt Jan |
Jazyk: |
angličtina |
Rok vydání: |
2010 |
Předmět: |
|
Zdroj: |
BMC Cancer, Vol 10, Iss 1, p 264 (2010) |
Druh dokumentu: |
article |
ISSN: |
1471-2407 |
DOI: |
10.1186/1471-2407-10-264 |
Popis: |
Abstract Background Malignant degeneration in association with orthopaedic implants is a known but rare complication. To our knowledge, no case of osseous malignant fibrous histiocytoma after anterior cruciate ligament reconstruction is reported in the literature. Case presentation We report a 29-year-old male Turkish patient who presented with severe pain in the operated knee joint 40 months after arthroscopic anterior cruciate ligament reconstruction. X-ray and MR imaging showed a large destructive tumor in the medial femoral condyle. Biopsy determined a malignant fibrous histiocytoma. After neoadjuvant chemotherapy, wide tumor resection and distal femur reconstruction with a silver-coated non-cemented tumor knee joint prosthesis was performed. Adjuvant chemotherapy was continued according to the EURAMOS 1 protocol. Conclusions Though secondary malignant degeneration after orthopaedic implants or prostheses is not very likely, the attending physician should take this into consideration, especially if symptoms worsen severely over a short period of time. |
Databáze: |
Directory of Open Access Journals |
Externí odkaz: |
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