Left Hindquarter Amputation due to High-Grade Pleomorphic Sarcoma of the Groin: A Case Report

M. Zaki, A. Hafiz, B. Brahma, R. Sofyan
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Abstract

Introduction:Hindquarter amputation or known as hemipelvectomy is a surgical technique that is primarily used for the eradication of malignant primary soft tissue and bone tumors of the pelvis, hip, and upper thigh regions. Occasionally, hindquarter amputation has been employed in the treatment of severe trauma, metastases, and infection. This case report aims to give a lesson in the case of the High-Grade Pleomorphic Sarcoma of the Groin because this is a very rare case and most patients are not willing to undergo amputation.Case Presentation: A 54-year-old male patient came with a complaint of a lump in the thigh. Initially, the lump was as big as a marble and has been getting bigger since last year. The size of the lump was approximately 30 x 30 x 30 cmConclusions: The most common indications for amputation in patients with the primary localized disease were extensive involvement of the limb-girdle, multiple muscle compartment involvement, multifocality, and unsuitability for limb-sparing surgery, typically due to lack of a salvage option. Hindquarter amputation was used as a treatment for 13% of all pelvic bone sarcomas where there is a realistic chance of control of symptoms or long-term survival.comas.
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腹股沟高级别多形性肉瘤致左后腿截肢1例
后肢截肢或半骨盆切除术是一种主要用于根除骨盆、髋关节和大腿上部恶性原发性软组织和骨肿瘤的手术技术。偶尔,后肢截肢已被用于治疗严重创伤,转移和感染。本病例报告旨在为腹股沟高级别多形性肉瘤的病例提供一个教训,因为这是一个非常罕见的病例,大多数患者不愿意接受截肢手术。病例介绍:一名54岁男性患者,主诉大腿肿块。最初,这个肿块和大理石一样大,从去年开始变得越来越大。结论:原发性局限性疾病患者最常见的截肢指征是广泛累及肢带,累及多个肌室,多灶性,不适合肢体保留手术,通常是由于缺乏挽救性选择。13%的盆腔骨肉瘤采用后肢截肢治疗,这些肉瘤有可能控制症状或长期存活。
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