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Distal Ulnar Translocation with Partial Wrist Arthrodesis for Grade III Campanacci Giant Cell Tumors of the Distal Radius – A Case Series

January 10, 2021

Cases Series | Volume 7 | Issue 1 | JBST January – April 2021 | Page 12-15 | Sivakumar Raju, Prahalad Kumar Singhi, M. Chidambaram, V. Somashekar. DOI: 10.13107/jbst.2021.v0701.43 Author: Sivakumar Raju[1], Prahalad Kumar Singhi[1], M. Chidambaram[1], V. Somashekar[1] [1]Department of Orthopaedic, Preethi Hospitals Pvt. Ltd., 50 Melur Main Road, Uthangudi, Madurai, Tamil Nadu, India. […]

A Case Report of Solitary Bone Metastasis from Primary Angiosarcoma of the Bilateral Breasts – A Rare Diagnosis

January 10, 2021

Case Report | Volume 7 | Issue 1 | JBST January – April 2021 | Page 16-21 | Katrina Ysabel R Naraval, Daniela Kristina D. Carolino, Ma. Lilia Molina P. Jose. DOI: 10.13107/jbst.2021.v07i01.43 Author: Katrina Ysabel R Naraval[1], Daniela Kristina D. Carolino[1], Ma. Lilia Molina P. Jose[1], [2] [1]Institute of Orthopaedics and Sports Medicine, St. […]

Distal Ulnar Translocation with Partial Wrist Arthrodesis for Grade III Campanacci Giant Cell Tumors of the Distal Radius – A Case Series

January 10, 2021

A Case Report of Solitary Bone Metastasis from Primary Angiosarcoma of the Bilateral Breasts – A Rare Diagnosis

January 10, 2021

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Distal Ulnar Translocation with Partial Wrist Arthrodesis for Grade III Campanacci Giant Cell Tumors of the Distal Radius – A Case Series

January 10, 2021

Author: Sivakumar Raju[1], Prahalad Kumar Singhi[1], M. Chidambaram[1], V. Somashekar[1]

[1]Department of Orthopaedic, Preethi Hospitals Pvt. Ltd., 50 Melur Main Road, Uthangudi, Madurai, Tamil Nadu, India.

Address of Correspondence
Dr. Prahalad Kumar Singhi,
Consultant Arthroscopy and Trauma Surgeon, Preethi Hospitals Pvt. Ltd., Madurai – 625 107, Tamil Nadu, India.
E-mail: docpsin2001@yahoo.co.in

Abstract

Introduction: Campanacci Grade III giant cell tumor of distal radius is an uncommon condition with limited treatments options and ulnar translocation is one.
Materials and Methods: We retrospectively analyzed five cases of Campanacci Grade III tumor in which three were recurrent cases, four female and one male all operated under regional anesthesia (supraclavicular brachial plexus block) with en bloc resection and reconstruction using ulnar translocation with fusion only with proximal carpal row from 2012 to 2018 at our institute. The mean length of tumor resected was 6.74 cm and average follow-up of 60 months. Average union time at radioulnar junction was 4–5 months and ulnocarpal joint was 3–4 months.
Results: Functional outcome was assessed using musculoskeletal tumor society scoring system, 80% had excellent and good outcome, and one patient had extensive recurrence and ended up in below-elbow amputation.
Conclusion: Ulnar translocation with partial wrist arthrodesis is a simple, valid, option with acceptable appearance of forearm, useful wrist function, no donor site morbidity nor need for a microvascular procedure, and no need to achieve complete wrist arthrodesis as compared to other options for reconstruction.
Keywords: Distal radius giant cell tumor, Campanacci Grade III tumor, modified ulnar translocation, partial wrist arthrodesis.

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How to Cite this article: Raju S, Singhi PK, Chidambaram M, Somashekar V | Distal Ulnar Translocation with Partial Wrist Arthrodesis for Grade III Campanacci Giant Cell Tumors of the Distal Radius – A Case Series | Journal of Bone and Soft Tissue Tumors | Jan-Apr 2021; 7(1): 12-15.

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A Case Report of Solitary Bone Metastasis from Primary Angiosarcoma of the Bilateral Breasts – A Rare Diagnosis

January 10, 2021

Author: Katrina Ysabel R Naraval[1], Daniela Kristina D. Carolino[1], Ma. Lilia Molina P. Jose[1], [2]

[1]Institute of Orthopaedics and Sports Medicine, St. Luke’s Medical Center, 279 E. Rodriguez Sr. Blvd., Quezon city 1112, Philippines,
[2]Orthopaedic Oncology section, Department of Orthopaedics, The Medical City Clark, Pampanga, Philippines.

Address of Correspondence
Dr. Katrina Ysabel R Naraval,
Institute of Orthopaedics and Sports Medicine, St. Luke’s Medical Center, 279 E. Rodriguez Sr. Blvd., Quezon city 1112, Philippines.
E-mail: khayanaraval@gmail.com

Abstract

Introduction: Primary angiosarcoma of the breast is an uncommon subtype of soft-tissue sarcoma known to be aggressive and is associated with distant metastasis and poor prognosis. Solitary bone metastases occurring in these cases are even more rare with the available limited literature based from small retrospective case series.
Case Report: We present a case of a 24-year-old Filipino female previously diagnosed with primary angiosarcoma of the bilateral breasts, initially presenting with a 3-month history of the right hip pain and consulted due to a pathologic fracture of the right proximal femur. Diagnostic tests done confirmed solitary skeletal metastasis to this area, for which she underwent wide resection and application of a proximal femoral endoprosthesis. Postoperatively, the patient was able to independently ambulate, with follow-up radiographs showing stable implant fixation. Further imaging showed that lesion-free bones, however, noted development of distant recurrence manifesting with pulmonary metastases and hemorrhagic subcutaneous lesions 3 months after. Adequate tumor resection and radiotherapy are reported to successfully treat isolated skeletal metastasis in the proximal femur. The presence of the pathologic fracture before definitive treatment may have contributed to its distant recurrence, in addition to an already aggressive nature of the primary malignancy.
Conclusion: In the background of primary breast angiosarcoma, although rare, high suspicion for isolated skeletal metastasis in a symptomatic patient prevents delay in definitive management, which avoids progression to a poorer prognosis.
Keywords: Solitary bone metastasis, angiosarcoma, proximal femur, pathologic fracture.

References:

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How to Cite this article: Naraval KYR, Carolino DKD, Jose MLMP | A Case Report of Solitary Bone Metastasis from Primary Angiosarcoma of the Bilateral Breasts – A Rare Diagnosis | Journal of Bone and Soft Tissue Tumors | Jan-Apr 2021; 7(1): 16-21.

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Distal Ulnar Translocation with Partial Wrist Arthrodesis for Grade III Campanacci Giant Cell Tumors of the Distal Radius – A Case Series

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A Case Report of Solitary Bone Metastasis from Primary Angiosarcoma of the Bilateral Breasts – A Rare Diagnosis

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Distal Ulnar Translocation with Partial Wrist Arthrodesis for Grade III Campanacci Giant Cell Tumors of the Distal Radius – A Case Series

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A Case Report of Solitary Bone Metastasis from Primary Angiosarcoma of the Bilateral Breasts – A Rare Diagnosis

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Distal Ulnar Translocation with Partial Wrist Arthrodesis for Grade III Campanacci Giant Cell Tumors of the Distal Radius – A Case Series

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A Case Report of Solitary Bone Metastasis from Primary Angiosarcoma of the Bilateral Breasts – A Rare Diagnosis

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