Shinjo K, Makiyama T, Asai T, Saito S, Miyake M, Tuboi S
Gan No Rinsho. 1987 Jul;33(8):993-1000.
A 14-year-old girl was admitted with a diagnosis of osteogenic sarcoma of the distal femur. Pre-operative chemotherapy was effective, and sclerosis of the lesion made clear the presence of a proximal femoral and pulmonary metastasis. Total femur and knee joint replacement with titanium alloy was made after a total resection of the femur. Her post-operative clinical course was excellent without local recurrence. Now, 14 months after the operation, she can walk without crutches. We wish to emphasize that the presence of a pulmonary metastasis is not absolutely a contraindication as long as the tumor appears surgically resectable and responsive to per-operative chemotherapy.
一名14岁女孩因股骨远端骨肉瘤入院。术前化疗有效，病变硬化明确显示存在股骨近端和肺部转移。在股骨全切术后进行了钛合金全股骨和膝关节置换。她的术后临床过程良好，无局部复发。现在，术后14个月，她可以不用拐杖行走。我们希望强调，只要肿瘤在手术中可切除且对术中化疗有反应，肺部转移的存在并非绝对禁忌证。
