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Archives of Orthopaedic and Trauma Surgery

, Volume 113, Issue 4, pp 215–217 | Cite as

Curative local control of malignant tumors in the acetabulum by intraoperative radiotherapy

  • T. Hirano
  • H. Baba
  • K. Iwasaki
  • H. Hayashi
Clincal and Experimental Forum

Abstract

As treatment for malignant tumors in the acetabular region of the pelvis, radiotherapy, mainly in the form of intraoperative radiotherapy (IORT), was carried out in four patients. One had a malignant fibrous histiocytoma of bone and three had metastatic tumors from the stomach and lung. Over follow-up period, ranging from 3 to 46 months, satisfactory limb function was preserved in three patients; the fourth suffered from femoral nerve palsy as a complication of IORT. Cessation of growth was observed radiologically in all the tumors, and curative local control was proven histologically in two patients at autopsy.

Keywords

Public Health Malignant Tumor Local Control Nerve Palsy Malignant Fibrous Histiocytoma 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Campanacci M, Capanna R (1991) Pelvic resections: the Rizzoli Institute experience. Orthop Clin North Am 22:66–86Google Scholar
  2. 2.
    Enneking WF (1987) Modification of the system for functional evaluation of surgical management of musculoskeletal tumors. In: Enneking WF (ed) Limb salvage in musculoskeletal oncology. Churchill Livingstone, New York, pp 626–639Google Scholar
  3. 3.
    Gradinger R, Rechl H, Hipp E (1991) Pelvic osteosarcoma. Resection, reconstruction, local control, and survival statistics. Clin Orthop 270:149–158Google Scholar
  4. 4.
    Hirano T, Iwasaki K, Kumashiro T (1991) Modification of intraoperative radiotherapy for limb salvage in malignant bone tumors. A preliminary report. In: Brown KLB (ed) Complications of limb salvage. ISOLS, Montreal, pp 632–636Google Scholar
  5. 5.
    Kinsella TJ, Sindeler WF (1989) Normal tissue tolerance to intraoperative radiation therapy. Experimental and clinical studies. Front Radiat Ther Oncol 23:202–214Google Scholar
  6. 6.
    Yamamuro T, Kotoura Y, Kasahara K, Takahashi M, Abe M (1989) Intraoperative radiotherapy and ceramic prosthetic replacement for osteosarcoma. In: Yamamuro T (ed) New developments for limb salvage in musculoskeletal tumors. Springer, Berlin Heidelberg New York, pp 327–333Google Scholar

Copyright information

© Springer-Verlag 1994

Authors and Affiliations

  • T. Hirano
    • 1
  • H. Baba
    • 1
  • K. Iwasaki
    • 1
  • H. Hayashi
    • 2
  1. 1.Department of Orthopaedic SurgeryNagasaki University School of MedicineNagasaki CityJapan
  2. 2.Department of RadiologyNagasaki University School of MedicineSakamoto, NagasakiJapan

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