engleski

Limb salvage or amputation in bone tumour : Our results

In the period from 1990.-1995. at the age from 6-18 yrs there were 20 children with diagnosis osteosarcoma and 23 children with diagnosis Ewing sarcoma treated at the children's Hospital Zagreb- Center for solid tumors. In our report we present result of treatment depending on operation method- limb salvage or amputation. 17 children with osteosarcoma had tumor on lower limb. Among children with Ewing sarcoma the same localisation was foud in 11 cases. Preoperative chemotherapy was performed with 15 children withosteosarcoma and all of the other with Ewing sarcoma. Limb salvage and implantation endoprothesis-model Kotz was done in 8 children with osteosarcoma and 2 children with Ewing sarcoma. Among all the others the partial resection without implantation of endoprothesis was done . 2 children with limb salvage and 3 children with amputation in osteosarcoma group had lethal outcome. In Ewing sarcoma group 3 children with limb salvage and 2 children with anputation had lethal outcome. According to the results we would like to stress the seriousness of the decision for operation which has to be founded after detailed analysis of bone scyntigraphy and computer tomography scans which explains the eventual infiltration of soft tissue. In postoperative treatment we would like to stress necessity for intensification of chemotherapy with we can achieve successful result of bone tumour treatment.

Operation method; bone tumor; children

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