Recurrence of pelvic chondrosarcoma through fascial defect into abdominal cavity.

Recurrence of pelvic chondrosarcoma through fascial defect into abdominal cavity.

~~Our patient was a 76-year-old female who has been operated on 2 times in 8 years for pelvic chondrosarcoma. The patient came to our clinic with a large mass in left iliac region which extended into the paravertebral area. Physical examination and preoperative imagining studies revealed a mass at the left iliac area that infiltrated sciatic notch and extended from posterior iliac region towards the anterior side of iliac bone through the sciatic notch and an incisional hernia including descending colon. The mass was also penetrating the abdominal cavity through the hernia. Surgical intervention was planned. Since the tumor infiltrated the sciatic nerve, hemipelvectomy was indicated. Patient refused hemipelvectomy. Therefore, palliative debulking surgery was considered. We treated the case with marginal excision and abdominal wall reconstruction employing prolene and vicryl suture materials in order to prevent a postoperative visceral herniation and local invasion. At the latest follow-up appointment in 2 years, the patient still had no signs of tumor recurrence. This case showed us that an incisional hernia can serve as a pathway for the recurrence invasion of the chondrosarcoma.

Bu makale 7 Mart 2019 tarihinde güncellendi. 0 kez okundu.

Yazar
Doç. Dr. Kemal Gökkuş

Doç.Dr.Kemal GÖKKUŞ, Akdeniz Üniversitesi  Tıp Fakültesi'nde başlamış olduğu lisans eğitimini başarı ile tamamlayarak Tıp doktoru unvanı almıştır. İhtisasını ise, Marmara Üniversitesi Tıp Fakültesi'nde tamamlayıp Ortopedi ve Travmatoloji Uzmanı olmuştur.

Doç.Dr.Kemal GÖKKUŞ, Antalya'da bulunan Memorial Antalya Hastanesi'nde hastalarına hizmet vermektedir.

Doç. Dr. Kemal Gökkuş
Doç. Dr. Kemal Gökkuş
Antalya - Ortopedi ve Travmatoloji
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