Jeffrey Cheah School of Medicine and Health Sciences, Monash University Sunway Campus, Malaysia.
World J Surg Oncol. 2010 Nov 8;8:96. doi: 10.1186/1477-7819-8-96.
We describe an unusual case of osteosarcoma in a Jehovah's Witness patient who underwent chemotherapy and major surgery without the need for blood transfusion. This 16-year-old girl presented with osteosarcoma of the right proximal tibia requiring proximal tibia resection, followed by endoprosthesis replacement. She was successfully treated with neoadjuvant chemotherapy and surgery with the support of haematinics, granulocyte colony-stimulating factor, recombinant erythropoietin and intraoperative normovolaemic haemodilution. This case illustrates the importance of maintaining effective, open communication and exploring acceptable therapeutic alternative in the management of these patients, whilst still respecting their beliefs.
我们描述了一例 Jehovah's Witness 患者的骨肉瘤病例，该患者在未输血的情况下接受了化疗和大手术。这位 16 岁的女孩患有右侧胫骨近端骨肉瘤，需要进行胫骨近端切除术，然后进行内置物置换。她在血液制剂、粒细胞集落刺激因子、重组促红细胞生成素和术中等容血液稀释的支持下，成功地接受了新辅助化疗和手术治疗。该病例说明了在管理这些患者时，保持有效、开放的沟通并探索可接受的治疗替代方案的重要性，同时仍尊重他们的信仰。
