Lopes A, Morini S, Vieira L J, de Oliveira A T
Pathology Department, Hospital A.C. Camargo, Antonio Prudente Foundation-São Paulo, Brazil.
Sao Paulo Med J. 1997 May-Jun;115(3):1440-3. doi: 10.1590/s1516-31801997000300007.
The authors report on the case of a 28-year-old patient with extensive chondrosarcoma of the left ischium and pubis involving hip joint, skin, and soft tissue of the gluteal region, secondary to hereditary multiple exostosis submitted to an extended internal Enneking type II and III hemipelvectomy. No prosthesis or arthrodesis was used. A few years ago, patients with extensive tumors like this one were treated with interilioabdominal amputation, resulting in a loss of quality of life. Two years after the limb-preserving surgery, this patient was disease free, with good functional results, including bipedal ambulation with support.
作者报告了一例28岁患者，患有左坐骨和耻骨的广泛性软骨肉瘤，累及髋关节、皮肤及臀区软组织，继发于遗传性多发骨软骨瘤，接受了扩大的Enneking II型和III型半骨盆切除术。未使用假体或关节固定术。几年前，患有如此广泛肿瘤的患者接受髂腹间截肢术，导致生活质量下降。保肢手术后两年，该患者无疾病，功能结果良好，包括借助支撑实现双足行走。
