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Re: Остеобластокластома вертлужной впадины
послал Narunas Porvaneckas 17 Октябрь 2002, 11:14
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looking to the X-rays and CT scan it appears this young lady has an aggressive bone leasion.
I completely agree with Christian Veillete concerning differential diagnosis. There is necessary to perform biopsy to evaluate the tumor and its histological degree. Also should be done three dimensional CT scan and MRI to evaluate the precise lack of the bone tissue and involvement of surrounding tissues.
The X-ray and CT scan appearance is likely as the chondrosarcoma what is seldom but common
finding in the replacement surgery of the hip. Having precise histological, CT and MRI data should be planed the amount of surgery after detailed discussion with patient. There is no any possibility to perform primary replacement. If there is the chondrosarcoma hemipelvectomy would be the most live saving procedure. If there is an aggressive giant cell tumor or other findings about allografting, reconstructive surgery with custom made implant or saddle modular prostheses (W.Link) could be discussed. In other wards there are so many different thinks what should be discussed with patient
having all of investigation data. Actually this young lady should be investigated as soon as possible because the time is not her ally.
With regards
Narunas Porvaneckas
Heart and orthopaedic surgery center
Vilnius
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