Chondrosarcoma secondary to hereditary multiple exostosis treated by extended internal hemiplevectomy

Authors

  • Ademar Lopes Fundação Antonio Prudente
  • Sandra Morini Fundação Antonio Prudente
  • Leonardo José Vieira Fundação Antonio Prudente
  • Antonio Talvane de Oliveira Fundação Antonio Prudente

Keywords:

Chondrosarcoma, Osteochondroma, Surgery, Prosthesis, Iliac bone, Osteochondromatosis

Abstract

The authors report on the case of a 28-year-old patient with extensive chondrosarcoma of the left ischium and pubis involving hip joint, skin, and soft tissue of the gluteal region, secondary to hereditary multiple exostosis submitted to an extended internal Enneking type II and Ill hemipelvectomy. No prosthesis or arthrodesis was used. A few years ago, patients with extensive tumors like this one were treated with interilioabdominal amputation, resulting in a loss of quality of Iife.Two years after the limb-preserving surgery, this patient was disease free, with good functional results, including bipedal ambulation with support.

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Author Biographies

Ademar Lopes, Fundação Antonio Prudente

Hospital A. C. Camargo, Hospital A.C. Camargo , Pathology Department and Surgery Residents, São Paulo, Brazil.

Sandra Morini, Fundação Antonio Prudente

Hospital A. C. Camargo, Hospital A.C. Camargo , Pathology Department and Surgery Residents, São Paulo, Brazil.

Leonardo José Vieira, Fundação Antonio Prudente

Hospital A. C. Camargo, Hospital A.C. Camargo , Pathology Department and Surgery Residents, São Paulo, Brazil.

Antonio Talvane de Oliveira, Fundação Antonio Prudente

Hospital A. C. Camargo, Hospital A.C. Camargo , Pathology Department and Surgery Residents, São Paulo, Brazil.

References

Boyer A. Traite des maladies chirurgicales, Vol.3. Paris: Ve. Migneret, 1814:594.

Mankin HJ, Cantley KP, Lippiello L. et al: The biology of human chondrosarcoma. I. Description of the series, grading, and biochemical analyses. J Bone Joint Surg 1980;62:160-76.

Enneking WF, Dunham WK. Resection and reconstruction for primary neoplasms envolving the innominate bone. J Bone Joint Surg 1978;60:731-46.

Lopes A, Figueiredo MTA, Gentil FC. Condrossarcoma localmente avançado do osso ilíaco tratado por amputação interilioabdominal e reparado com retalhos miocutâneo ântero-medial da coxa: Relato de um caso. Rev Bras Ortop 1989;24:255-59.

Lopes A, Penna V, Rossi BM, Chung WT, Tanaka MH. Hemipelvectomia total interna no tratamento de tumores malignos da região pélvica. Rev Bras Ortop 1994;29:11-22.

Huth JF, Eckardt JJ, Pignatti G, Eilber FR. Resection of malignant bone tumors of the pelvic girgle without extremity amputation. Arch Surg 1988;123:1121-24.

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Published

1997-05-05

How to Cite

1.
Lopes A, Morini S, Vieira LJ, Oliveira AT de. Chondrosarcoma secondary to hereditary multiple exostosis treated by extended internal hemiplevectomy. Sao Paulo Med J [Internet]. 1997 May 5 [cited 2025 Oct. 16];115(3):1440-3. Available from: https://periodicosapm.emnuvens.com.br/spmj/article/view/2101

Issue

Section

Case Report