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...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Oncological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2014/674369 |
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| author | Kemal Gökkuş Tolgay Akin Ergin Sagtas Murat Saylik Ahmet Turan Aydın |
| author_facet | Kemal Gökkuş Tolgay Akin Ergin Sagtas Murat Saylik Ahmet Turan Aydın |
| author_sort | Kemal Gökkuş |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-a71c3ed94c7e455a87fad216b6459b0b |
| institution | Kabale University |
| issn | 2090-6706 2090-6714 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Oncological Medicine |
| spelling | doaj-art-a71c3ed94c7e455a87fad216b6459b0b2025-02-03T05:57:32ZengWileyCase Reports in Oncological Medicine2090-67062090-67142014-01-01201410.1155/2014/674369674369Recurrence of Pelvic Chondrosarcoma through Fascial Defect into Abdominal CavityKemal Gökkuş0Tolgay Akin1Ergin Sagtas2Murat Saylik3Ahmet Turan Aydın4Private Memorial Antalya Hospital, Zafer Mahallesi, Yildirim Beyazit Caddesi, No. 91, Kepez, 07020 Antalya, TurkeyGeneral Surgery Department, Antalya Memorial Hospital, 07020 Antalya, TurkeyRadiodiagnostic Department, Antalya Memorial Hospital, 07020 Antalya, TurkeyOrthopaedics and Trauma Department, Ozel Bahar Hospital, 16100 Bursa, TurkeyOrthopaedics and Trauma Department, Antalya Memorial Hospital, 07020 Antalya, TurkeyOur 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.http://dx.doi.org/10.1155/2014/674369 |
| spellingShingle | Kemal Gökkuş Tolgay Akin Ergin Sagtas Murat Saylik Ahmet Turan Aydın Recurrence of Pelvic Chondrosarcoma through Fascial Defect into Abdominal Cavity Case Reports in Oncological Medicine |
| title | Recurrence of Pelvic Chondrosarcoma through Fascial Defect into Abdominal Cavity |
| title_full | Recurrence of Pelvic Chondrosarcoma through Fascial Defect into Abdominal Cavity |
| title_fullStr | Recurrence of Pelvic Chondrosarcoma through Fascial Defect into Abdominal Cavity |
| title_full_unstemmed | Recurrence of Pelvic Chondrosarcoma through Fascial Defect into Abdominal Cavity |
| title_short | Recurrence of Pelvic Chondrosarcoma through Fascial Defect into Abdominal Cavity |
| title_sort | recurrence of pelvic chondrosarcoma through fascial defect into abdominal cavity |
| url | http://dx.doi.org/10.1155/2014/674369 |
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