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Surgical treatment of a twice recurrent chondrosarcoma of the pubic symphysis: a case report and review of the literature

The case of a patient with a second recurrence of a chondrosarcoma of the pelvis and pubic symphysis is presented, in order to show the difficulties of the surgical treatment and the long course of the tumor. A 56-year-old woman having already been operated upon twice within two decades, presented w...

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Autores principales: Petsatodis, George, Stavridis, Stavros I, Karataglis, Dimitrios, Christodoulou, Anastasios
Formato: Texto
Lenguaje:English
Publicado: Cases Network Ltd 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2740035/
https://www.ncbi.nlm.nih.gov/pubmed/19829856
http://dx.doi.org/10.4076/1757-1626-2-6769
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author Petsatodis, George
Stavridis, Stavros I
Karataglis, Dimitrios
Christodoulou, Anastasios
author_facet Petsatodis, George
Stavridis, Stavros I
Karataglis, Dimitrios
Christodoulou, Anastasios
author_sort Petsatodis, George
collection PubMed
description The case of a patient with a second recurrence of a chondrosarcoma of the pelvis and pubic symphysis is presented, in order to show the difficulties of the surgical treatment and the long course of the tumor. A 56-year-old woman having already been operated upon twice within two decades, presented with a large, mass of the pubic symphysis, extending into the left proximal thigh. Preoperative imaging revealed a large tumor occupying the pubic symphysis and the pubic bones up to the ischial tuberosities, extending into the soft tissues of the inner surface of the left thigh and displacing the urinary bladder, the urethra and the vagina. Intraoperatively, a radical excision of the tumor was performed, including removal of the osseous substrate of the anterior pelvis. The anterior abdominal wall was supported with a special synthetic mesh secured on the osseous stumps in order to prevent visceral herniation. Histological examination showed grade I to II chondrosarcoma, while the patient’s postoperative course was uncomplicated. At the latest follow-up two years postoperatively, the patient is pain-free and ambulatory with no signs of tumor recurrence, genitourinary complications or visceral herniation.
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spelling pubmed-27400352009-10-14 Surgical treatment of a twice recurrent chondrosarcoma of the pubic symphysis: a case report and review of the literature Petsatodis, George Stavridis, Stavros I Karataglis, Dimitrios Christodoulou, Anastasios Cases J Case report The case of a patient with a second recurrence of a chondrosarcoma of the pelvis and pubic symphysis is presented, in order to show the difficulties of the surgical treatment and the long course of the tumor. A 56-year-old woman having already been operated upon twice within two decades, presented with a large, mass of the pubic symphysis, extending into the left proximal thigh. Preoperative imaging revealed a large tumor occupying the pubic symphysis and the pubic bones up to the ischial tuberosities, extending into the soft tissues of the inner surface of the left thigh and displacing the urinary bladder, the urethra and the vagina. Intraoperatively, a radical excision of the tumor was performed, including removal of the osseous substrate of the anterior pelvis. The anterior abdominal wall was supported with a special synthetic mesh secured on the osseous stumps in order to prevent visceral herniation. Histological examination showed grade I to II chondrosarcoma, while the patient’s postoperative course was uncomplicated. At the latest follow-up two years postoperatively, the patient is pain-free and ambulatory with no signs of tumor recurrence, genitourinary complications or visceral herniation. Cases Network Ltd 2009-06-29 /pmc/articles/PMC2740035/ /pubmed/19829856 http://dx.doi.org/10.4076/1757-1626-2-6769 Text en © 2009 Petsatodis et al.; licensee Cases Network Ltd. http://creativecommons.org/licenses/by/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case report
Petsatodis, George
Stavridis, Stavros I
Karataglis, Dimitrios
Christodoulou, Anastasios
Surgical treatment of a twice recurrent chondrosarcoma of the pubic symphysis: a case report and review of the literature
title Surgical treatment of a twice recurrent chondrosarcoma of the pubic symphysis: a case report and review of the literature
title_full Surgical treatment of a twice recurrent chondrosarcoma of the pubic symphysis: a case report and review of the literature
title_fullStr Surgical treatment of a twice recurrent chondrosarcoma of the pubic symphysis: a case report and review of the literature
title_full_unstemmed Surgical treatment of a twice recurrent chondrosarcoma of the pubic symphysis: a case report and review of the literature
title_short Surgical treatment of a twice recurrent chondrosarcoma of the pubic symphysis: a case report and review of the literature
title_sort surgical treatment of a twice recurrent chondrosarcoma of the pubic symphysis: a case report and review of the literature
topic Case report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2740035/
https://www.ncbi.nlm.nih.gov/pubmed/19829856
http://dx.doi.org/10.4076/1757-1626-2-6769
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