Select a Community
Are you sure you want to trigger topic in your Anconeus AI algorithm?
You are done for today with this topic.
Would you like to start learning session with this topic items scheduled for future?
Antegrade femoral nailing with reamings sent to pathology for analysis
4%
97/2357
Antegrade femoral nailing with adjuvant radiotherapy to the lesion
2%
39/2357
Minimally invasive plating of the femur for stabilization and open cementation of the lesion
1%
17/2357
Referral to medical oncology for chemo-radiotherapy
43/2357
Lesion biopsy with further treatment based on the results of the biopsy
91%
2143/2357
Select Answer to see Preferred Response
New lesions which are not diagnosed by imaging and require surgical intervention need to have an appropriate biopsy with treatment dictated by the results of the biopsy. While this patient has a significant tobacco history, incorrect treatment of this lytic bone lesion could affect both her overall morbidity and mortality. As an example, a lytic high-grade chondrosarcoma may look exactly like a metastatic lesion but requires wide surgical excision, not just stabilization of an impending pathological fracture. Intramedullary nailing of a chondrosarcoma would spread the tumor the entire length of the bone and likely require a major amputation, not a limb salvage operation.
3.0
(30)
Please Login to add comment