Document Detail

Management of a parturient with high-grade osteosarcoma of the proximal femur: a multidisciplinary approach.
MedLine Citation:
PMID:  20627530     Owner:  NLM     Status:  MEDLINE    
Osteosarcoma is the most common primary malignant bone tumor, yet it is exceedingly rare in pregnancy. We present a case of a 33-year-old multiparous woman diagnosed with high-grade osteosarcoma during the third trimester of pregnancy. A plan was formulated to perform cesarean delivery at 33 weeks of gestation under spinal anesthesia, and, in subsequent surgery, radical femoral neck resection with limb salvage and adjuvant chemotherapy. The outcome was a healthy newborn baby boy and a disease-free mother. This case highlights the benefits of multidisciplinary planning: balancing the needs of the developing fetus with those of the mother, mitigating the risk of pathologic fracture and ensuring timely oncologic therapy.
A A Quaye; K A Raskin; J L Ecker; L R Leffert
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  International journal of obstetric anesthesia     Volume:  19     ISSN:  1532-3374     ISO Abbreviation:  Int J Obstet Anesth     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-08-20     Completed Date:  2010-12-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9200430     Medline TA:  Int J Obstet Anesth     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  340-2     Citation Subset:  IM    
Copyright Information:
2010 Elsevier Ltd. All rights reserved.
Department of Anesthesia and Critical Care, General Hospital, 55 Fruit Street, Boston, MA 02114-2622, USA.
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MeSH Terms
Femoral Neoplasms / complications,  radiography,  therapy*
Infant, Newborn
Limb Salvage
Magnetic Resonance Imaging
Osteosarcoma / complications,  radiography,  therapy*
Patient Care Team
Pregnancy Complications, Neoplastic / therapy*

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