Outcome of Surgical Treatment of Pelvic Osteosarcoma: Hospital Universiti Sains Malaysia Experience
- Author:
MS Ariff
;
W Zulmi
;
WI Faisham
;
MZ Nor Azman
;
AH Nawaz
- Publication Type:Journal Article
- Keywords:
Pelvic osteosarcoma, limb salvage surgery, hemipelvectomy, margins, oncologic outcomes
- From:Malaysian Orthopaedic Journal
2013;7(1):56-62
- CountryMalaysia
- Language:English
-
Abstract:
We reviewed the surgical treatment and outcomes of 13
patients with pelvic osteosarcoma treated in our centre in the past decade. The study sample included 9 males and 4
females with a mean age of 28.1 years. Four patients had
ileal lesions, five had acetabulum lesions, one had a
ischiopubis lesion, and three had involvement of the whole
hemipelvis. Seven patients presented with distant metastases at diagnosis. Limb salvage was performed in 6 patients and amputation in 7. In 60% of cases in the limb salvage surgery group, we attempted wide resection with positive microscopic margin compared to only 16.7% in the
amputation group. Local recurrence was higher in the limb
salvage group. Overall survival was 18 months for mean
follow up of 14.8 months. Median survival was 19 months in
the limb salvage group compared to 9 months in amputation
group. The outcome of surgical treatment of pelvic
osteosarcoma remains poor despite advancements in
musculoskeletal oncology treatment.
- Full text:W020160113331242463374.pdf
