No abstract available.
Colon* ; Colonic Neoplasms* ; Femoral Neuropathy*

Femoral Neoplasms ; pathology ; Humans ; Perivascular Epithelioid Cell Neoplasms ; pathology

The bisphosphonate is known for its ability to reduce bone loss in osteoporotic and osseous metastatic conditions. The side effects have been reported after long-term bisphosphonate therapy. We report the case of a woman who sustained atypical subtrochanteric femoral fracture while being on zoledronic acid (Zometa(R), Novartis) therapy for more than 4 years.
Breast ; Breast Neoplasms ; Diphosphonates ; Female ; Femoral Fractures ; Humans ; Imidazoles

The bisphosphonate is known for its ability to reduce bone loss in osteoporotic and osseous metastatic conditions. The side effects have been reported after long-term bisphosphonate therapy. We report the case of a woman who sustained atypical subtrochanteric femoral fracture while being on zoledronic acid (Zometa(R), Novartis) therapy for more than 4 years.
Breast ; Breast Neoplasms ; Diphosphonates ; Female ; Femoral Fractures ; Humans ; Imidazoles

We report on the case of a 50-year-old woman with exsanguinating haemorrhage from the common femoral artery as a complication of recurrent vulvar cancer in the groin which was managed successfully with combined open surgical and endovascular intervention. She survived another three months and died from progressive disease without further episodes of bleeding. This complication is rare, presents dramatically, and is usually a terminal event. For those cases where intervention is considered appropriate, the option of combined open surgical and endovascular repair should be kept in mind.
Female ; Femoral Artery ; Groin ; Hemorrhage ; Humans ; Middle Aged ; Vulvar Neoplasms

Chondromyxoid fibroma (CMF) is the least common benign cartilaginous tumor, comprising less than 0.5 to 1% of all skeletal neoplasms. This subject was a 16-year-old female with a three-year history of pain involving the distal femoral metaphysis. This case showed an unusual feature: it was intracortical in location. Radiologic differential diagnosis included metaphyseal fibrous defect, periosteal chondroma, simple or aneurysmal bone cyst, and cortical abscess. On operation, the lesion filled the intracortical defect with whitish myxoid soft tissue, bulging into the adjacent soft tissue. Microscopically, it showed typical features of chondromyxoid fibroma composed of mainly myxoid nodules and peripheral fibrous elements with focal chondroid differentiation.
Adolescent ; Case Report ; Chondroblastoma/pathology/*radiography ; Female ; Femoral Neoplasms ; Human

We describe a patient with an unusual cause of the occlusions of both femoral arteries by myxomas. A 41-year-old man presented with sudden onset of both leg pain and paresthesia. His hematological and cardiological status was normal. Lower peripheral angiography was performed and demonstrated thrombotic occlusion, both common femoral artery and superficial femoral and proximal portion of deep femoral artery. He was successfully treated with surgical and forgaty catheter extraction. Histologic finding was myxoma probably from cardiac origin. Cardiac investigations to determine the source of the myxoma, including 2-D echocardiography and Transesophageal echocardiogram (TEE) of the heart, failed to demonstrate residual myxoma in heart. No residual tumor or potential source of the tumor was found. The cause of both leg pain was the occlusions of the both common femoral arteries by myxomas. An entire cardiac tumor might have embolized with no detectable residual tumor in the heart; alternatively a myxoma might have originated as a primary tumor in the femoral artery.
Adult ; Angiography ; Catheters ; Echocardiography ; Femoral Artery* ; Heart ; Heart Neoplasms ; Humans ; Leg ; Myxoma* ; Neoplasm, Residual ; Paresthesia

Systemic tumor embolisms after pulmonary resections for malignancy are rare, but usually severe and sometimes fatal. Here, we report a case of a 70-year-old woman who underwent pulmonary resection for lung cancer and subsequently developed acute arterial occlusion of the lower extremities caused by a tumorous embolus.
Aged ; Embolectomy ; Embolism* ; Female ; Femoral Artery ; Humans ; Lower Extremity ; Lung Neoplasms* ; Lung* ; Neoplastic Cells, Circulating

OBJECTIVES: To gain information on anatomical variation in anterolateral thigh (ALT) flaps in a series of clinical cases, with special focus on perforators and pedicles, for potential use in reconstruction of oral and maxillofacial soft tissue defects. MATERIALS AND METHODS: Eight patients who underwent microvascular reconstructive surgery with ALT free flaps after ablative surgery for oral cancer were included. The number of perforators included in cutaneous flaps, location of perforators (septocutaneous or musculocutaneous), and the course of vascular pedicles were intraoperatively investigated. RESULTS: Four cases with a single perforator and four cases with multiple perforators were included in the ALT flap designed along the line from anterior superior iliac spine to patella. Three cases had perforators running the septum between the vastus lateralis and rectus femoris muscle (septocutaneous type), and five cases had perforators running in the vastus lateralis muscle (musculocutaneous type). Regarding the course of vascular pedicles, five cases were derived from the descending branch of the lateral circumflex femoral artery (type I), and three cases were from the transverse branch (type II). CONCLUSION: Anatomical variation affecting the distribution of perforators and the course of pedicles might prevent use of an ALT free flap in various reconstruction cases. However, these issues can be overcome with an understanding of anatomical variation and meticulous surgical dissection. ALT free flaps are considered reliable options for reconstruction of soft tissue defects of the oral and maxillofacial area.
Femoral Artery ; Free Tissue Flaps ; Humans ; Mouth Neoplasms ; Patella ; Quadriceps Muscle ; Running ; Spine ; Thigh*

Myxoinflammatory fibroblastic sarcoma (MIFS) is a rare low-grade, malignant soft tissue tumor that is usually observed in the extremities of adult patients. Magnetic resonance imaging findings for this tumor type have rarely been reported. We report a case involving the distal left femur of a middle-aged man and tumoral invasion of the bone, which, to our knowledge, has been previously described only once. He was treated with distal femoral tumor resection and reconstruction with a modular prosthesis. Histopathologic diagnosis confirmed MIFS. We reviewed literature of the diagnostic imaging and bone invasion findings associated with this tumor type.
Femoral Neoplasms ; pathology ; Fibrosarcoma ; pathology ; Humans ; Magnetic Resonance Imaging ; Male ; Middle Aged