Surgical Outcome of Fungating Sarcomas.
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2021, Vol 33, Issue 04
Abstract
Objective: To determine the surgical outcomes of fungating sarcomas. Methods: This descriptive study was conducted in Orthopaedics and Spine Unit Hayatabad Medical Complex Peshawar and Rehman Medical Institute Hayatabad Peshawar from 2nd January 2016 to 2nd December 2020.Patients of both gender and all ages with fungating sarcoma of bony or soft tissue origin meeting the inclusion criteria were included in this study and operated. Analysis of patient’s characteristics, tumour type, surgery, complications, recurrence and mortality was noted in each case. Results: We operated 16 patients of fungating sarcomas. The mean age was 30.5±17 years. All patients were male. Soft tissue sarcoma was present in 8(50%) and bony in 8(50%). Upper limb sarcoma was noted in 9(56.25%),lower limb in 6(37.5%) and neck in 1(6.25%) patient. Resection of soft tissue sarcomas followed by reconstruction was performed in 4( 8.69%) patients. Forequarter amputation was performed in 6(37.5%) cases, 3(18.75%) patients underwent hip disarticulation and 3(18.75%) patients had transfemoral amputations. Local complication was noted in 4(25%) patients with 3(18.75%) had wound dehiscence and 1(6.25%) had local recurrence at three months. Post surgery the mean survival time was 8 months and at 2 years follow up only 4(25%) patients were alive. Conclusion: Poor post operative prognosis and high mortality was noted for fungating sarcoma in our series. We however advise surgery for fungating sarcomas to alleviate symptoms and misery of these patients and improve their quality of life.
Authors and Affiliations
Khurram Iqbal1, Zeeshan Khan2, Israr Ahmad3, Muhammad Saeed4, Muhammad Arif5
Keywords
Related Articles
- EP ID EP741312
- DOI -
- Views 43
- Downloads 0
Surface Matters: Nanotechnology in Orthopaedics and Spine
Implant surface geometry is important for biological response from surrounding tissue smooth surface to rough to nano-surface have variable response – from cellular and protein adsorption and bony integration, as one cha...
Radiological Comparison of Palmer and Dorsal Flexion Cast Immobilization Technique of Extraarticular Distal Radial Fractures
To compare the radiological outcome of palmar flexion with dorsiflexion position of immobilization of the wrist in extraarticular distal radial fractures. Material and Methods:The study was conducted in the department...
Outcome of Primary Total Knee Arthroplasty in Morbid Obese Patients.
Objective: To determine the clinical and functional outcome of primary total knee arthroplasty in morbid obese patients. Methodology: This descriptive study was conducted in Liaquat National Hospital Karachi from 25th...
Our experience of Posterior interosseous bone flap reconstruction of segmental defects of hand and distal forearm
Objective: To determine the functional and radiological outcome of posterior interosseous bone flap in reconstruction of intercalated defects of the hand and distal forearm. Methods: This descriptive study was conduct...
Epidemiology of Paediatrics Fractures Admitted at Ghurki Trust Teaching Hospital
To identify the epidemiology of pediatric fractures and frame preventive measures to diminish Orthopaedics trauma. Methods: This retrospective study included 476 children of age between 0-15 years of either sex admit...