Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_ Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

30.01.2013 Views

Poster Topic: Tumours Abstract number: 26601 LOCAL DOXERUBICIN APPLICATION FOR THERAPY OF SINGLE BREAST CANCER METASTASIS. A CASE REPORT. Andrzej BOHATYREWICZ, Daniel KOTRYCH, Jacek GRONWALD, Pawel ZINTEK, Lukasz KOLODZIEJ, Jan LUBINSKI 1 Department of Orthopaedics and Traumatology, Pomeranian Medical University, Szczecin, Poland, Szczecin (POLAND), 662 2 Department of Genetics and Pathomorphology, Pomeranian Medical University, Szczecin, Poland, Szczecin (POLAND) We describe a case of single breast cancer metastasis to pelvic bone in 50 years old female patient managed operatively with bone removal followed by local doxerubicin application. The presence of cancer cells in excised tissues was confirmed by histological preparation. Six months later the same place was revised and the successful treatment was confirmed by normal histological examinations. The bone cavity was filled with bone allografts that healed completely during next six months.

Poster Topic: Tumours Abstract number: 26683 RESECTION ARTHRODESIS FOR GIANT CELL TUMOURS AROUND THE KNEE-TECHNIQUES AND RESULTS Sunil Gurpur KINI, Aditya AGGARWAL, Sudhir KUMAR University College of Medical Sciences, New-Delhi (INDIA) Background: Segmental resection of bone in Giant cell tumor around the knee, in indicated cases, leaves a gap which requires complex reconstructive procedure. This study analyzes reconstructive procedures in terms of morbidity and complications encountered. Materials and Methods: Thirteen cases (lower end femur-six and upper end tibia -seven) of GCT around the knee,Campanacci Grade II or Grade III were included. Mean age was 25.6 years Resection arthrodesis with telescoping over intramedullary nail ( n=5), resection arthrodesis with intercalary allograft threaded over long intramedullary nail ( n=3) and resection arthrodesis with intercalary fibular autograft and simultaneous limb lengthening ( n=5) were procedures performed. Results: Shortening was the major problem following resection arthrodesis with telescoping over nail. Infection was the major problem in all cases of arthrodesis with intercalary allograft threaded over long nail and required multiple drainage procedures. In the third patient, allograft sequestrated. The patient underwent sequestrectomy, telescoping of fragments and ilizarov fixator application with subsequent limb lengthening. After resection arthrodesis with intercalary autograft and simultaneous lengthening the resultant gap (~15cm) was bridged by intercalary nonvascularized dual fibular strut graft and corticocancellous graft. Simultaneous limb lengthening with distal tibial corticotomy was performed on ilizarov fixator. The complications were superficial infection, stress fracture of fibula . Time taken for union and limb length equalization was one year. Conclusion: Resection arthrodesis with intercalary fibular autograft and cortico-cancellous bone grafting with simultaneous limb lengthening achieved limb length equalization with relatively short morbidity. 663

Poster<br />

Topic: Tumours<br />

Abstract number: 26601<br />

LOCAL DOXERUBICIN APPLICATION FOR THERAPY OF SINGLE BREAST<br />

CANCER METASTASIS. A CASE REPORT.<br />

Andrzej BOHATYREWICZ, Daniel KOTRYCH, Jacek GRONWALD, Pawel ZINTEK,<br />

Lukasz<br />

KOLODZIEJ, Jan LUBINSKI<br />

1 Department of Orthopaedics and Traumatology, Pomeranian Medical University,<br />

Szczecin, Poland, Szczecin (POLAND),<br />

662<br />

2 Department of Genetics and<br />

Pathomorphology, Pomeranian Medical University, Szczecin, Poland, Szczecin<br />

(POLAND)<br />

We describe a case of single breast cancer metastasis to pelvic bone in 50 years old<br />

female patient managed operatively with bone removal followed by local doxerubicin<br />

application. The presence of cancer cells in excised tissues was confirmed by<br />

histological preparation. Six months later the same place was revised and the<br />

successful treatment was confirmed by normal histological examinations. The bone<br />

cavity was filled with bone allografts that healed completely during next six months.

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