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Unplanned resection of a primary malignant bone tumor: a report of three cases

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Abstract

In this paper, we present three cases with unplanned resection of a malignant bone tumor. The first case was a 32-year-old male who underwent resection of a tumor located on the right femur. The tumor was resected as exostosis, but the definitive diagnosis was parosteal osteosarcoma. The second case was a 53-year-old female who received two curettages of a tumor in the right femur as osteoblastoma. The definitive pathological diagnosis was osteosarcoma. The third case was a 78-year-old male who received an inappropriate biopsy procedure by a urologist in a previous institution. The pathological diagnosis was chondrosarcoma. All three cases received incorrect procedures for removal of a malignant bone tumor, due to radiological/pathological misdiagnosis and inappropriate surgical procedures for the skin incisions. Incorrect surgical management has the potential to expand tumor cell contamination into normal adjacent tissues, which would require the creation of a major tissue defect for sufficient removal. Amputation was selected in two cases and carbon ion radiotherapy in one case. Initial surgeons should be aware of the possibility of malignancy when treating bone tumors.

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Conflict of interest statement

No funds were received in support of this study.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, Osaka City University Graduate School of Medicine, 1-4-3 Asahi-Machi, Abeno-Ku, Osaka, 545-8585, Japan

    Manabu Hoshi, Makoto Ieguchi, Susumu Taguchi & Kunio Takaoka

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  1. Manabu Hoshi
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  2. Makoto Ieguchi
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  3. Susumu Taguchi
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  4. Kunio Takaoka
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Correspondence to Manabu Hoshi.

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Hoshi, M., Ieguchi, M., Taguchi, S. et al. Unplanned resection of a primary malignant bone tumor: a report of three cases. Eur J Orthop Surg Traumatol 19, 367–371 (2009). https://doi.org/10.1007/s00590-009-0432-z

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  • DOI: https://doi.org/10.1007/s00590-009-0432-z

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