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Acta Ortopédica Mexicana

ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología
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2014, Number 3

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Acta Ortop Mex 2014; 28 (3)

Synchronous multicentric osteosarcoma: with multiple primary tumors or metastatic disease. Report of one case and literature review

Rossier-Guillot LA, Tecualt-Gómez R, Amaya-Cepeda R, Barrera-García MI
Full text How to cite this article

Language: Spanish
References: 18
Page: 179-182
PDF size: 238.18 Kb.


Key words:

osteosarcoma, neoplasma, metastasis, femur, knee.

ABSTRACT

Synchronous multicentric osteosarcoma, is a tumor with presentation in two or more sites without the appearance of lung metastasis. The incidence is 1 to 3% of all osteosarcomas and only less than 100 cases have been documented in the literature. In our case, we are presenting a six and a half year old patient with a painful tumor in the left thigh diagnosed with an incisional biopsy that reported a high grade conventional osteosarcoma in the left distal femur, a lesion in the contralateral limb in distal femur and proximal tibia, with no favorable response to chemotherapy. Lung and brain metastases were detected; therefore, we decided to give multidisciplinary palliative care for the disease. Years after its description there is still debate whether this condition really corresponds to a primary variable or to a manifestation of the metastatic disease.


REFERENCES

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Acta Ortop Mex. 2014 May-Jun;28