Total tibia replacement using an allograft (in a patient with adamantinoma). Case report and review of literature.
J Cancer Res Clin Oncol
; 134(4): 427-31, 2008 Apr.
Article
em En
| MEDLINE
| ID: mdl-18060426
ABSTRACT
INTRODUCTION:
Adamantinoma is a very rare, low-grade, malignant bone tumour that accounts for approximately 0.4% of all primary bone tumours. Radiographically, adamantinomas vary in length, have a clearly defined outline, with a bubbly appearance and increase the width of the bone. Histologically, epithelial cells, endothelial cells synovial cells have been implicated as cells of origin. CASE PRESENTATION We present a case of adamantinoma of the tibia, in which a resection of the whole tibia and reconstruction with a total tibia allograft was necessary.DISCUSSION:
The histological diagnosis is sophisticated. It is often difficult to distinguish an adamantinoma from other tumours. The most frequent described method to treat adamantinoma is wide resection and the use of an allograft. The most common complication is fracture presented similarly in our patient.CONCLUSION:
A total tibia allograft as presented in our case is not described in the literature. It fractured due the first year after implantation. Using a prosthesis system instead of the allograft might have saved the limb of our patient.
Buscar no Google
Base de dados:
MEDLINE
Assunto principal:
Tíbia
/
Adamantinoma
Limite:
Adult
/
Humans
/
Male
Idioma:
En
Ano de publicação:
2008
Tipo de documento:
Article