Ribeiro Felipe Soares, Jeha Salim Abdon Haber, Dos Santos José Victor Figueiredo, Damasceno Ananda Vitória Suzuki Barros, da Silva Tereza Maria Meireles Fernandes, do Couto Fernando Brasil, Reale Humberto Balbi
Hospital Porto Dias, Belém, PA, Brasil.
Universidade Federal do Pará - UFPA, Belém, PA, Brasil.
J Vasc Bras. 2021 Jun 21;20:e20210005. doi: 10.1590/1677-5449.210005.
Primary or secondary bone tumors can manifest in different ways, from simple bone pain to possible pathological fractures. Hypervascularized tumors are of greatest concern, with increased incidence of complications. Preoperative embolization of the bone tumor is an effective measure for reducing blood loss during open surgery to excise the tumor. With appropriate experience, the risks of the procedure are minimal and final outcomes are highly satisfactory. The purpose of this paper is to describe the case of a 43-year-old male patient with a metastatic renal cell tumor in the left proximal femur (seen on lower limb computed tomography) who underwent selective preoperative embolization. The procedure resulted in a remarkable absence of bleeding and successful response to subsequent onco-orthopedic surgery.
原发性或继发性骨肿瘤可表现为不同形式，从单纯的骨痛到可能的病理性骨折。血管高度丰富的肿瘤最令人担忧，并发症发生率较高。骨肿瘤的术前栓塞是减少开放手术切除肿瘤时失血的有效措施。凭借适当的经验，该手术的风险极小，最终结果非常令人满意。本文的目的是描述一名43岁男性患者的病例，该患者左股骨近端有转移性肾细胞肿瘤（下肢计算机断层扫描可见），接受了术前选择性栓塞。该手术导致术中几乎无出血，并对随后的肿瘤骨科手术产生了成功的反应。
