PMID: 9645458Jun 30, 1998Paper

The operative management of a malignant proximal humerus tumor represented by secondary Paget's osteosarcoma

Journal of Cancer Research and Clinical Oncology
J P BenthienR Venbrocks

Abstract

Malignant tumors at the proximal humerus are an operative challenge. Radical removal is a principal of tumor surgery but as much functionality as possible should be retained. These conditions often conflict so a compromise has to be reached. This paper proposes a solution to this dilemma, introducing an operative approach, with a new modular prosthesis, to a secondary Paget's osteosarcoma in the proximal humerus. A recently developed humerus modular prosthesis is described, which has been implanted into a patient with Paget's osteosarcoma. In these, mostly elderly, patients, successful operative therapy should combine radical removal with early mobilization. Paget's osteosarcoma is a recognized complication of the disease, and its prognosis is poor. In our patient, the implanted humerus prosthesis allowed a limb-saving procedure to be combined with radical removal of the tumor and postoperative early mobilization. A 3-month follow-up yielded good results with no recurrence of the disease and the patient had satisfactory movement. She was able to resume normal daily life shortly after the operation. Implantation of a modular prosthesis of the humerus may allow radical removal of a malignant tumor in that area while achieving ear...Continue Reading

Citations

Aug 29, 2006·Journal of Bone and Mineral Metabolism·Shinjiro TakataHideki Yoshikawa
Aug 16, 2005·European Journal of Cancer Care·H SharmaR Reid
Oct 20, 2000·Clinical Orthopaedics and Related Research·C HeikeJ D Pitcher

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