Salvation surgery treatment in osteosarcoma of the fibula with seventeen years survival.

Abstract

Introduction: Osteosarcoma is the most frequent prlmary bony tumor with two plcks of Incidence, one around the 15 years (adolescents) and another in oid people. Ciinical case:  Patient of 14 years with pain clinic in proximal fibula. It was diagnosed by radiological studies and biopsy of located osteosarcoma with infiltration of cortical and periostlum and  extension toward fibula epiphysis. After preoperatory chemotherapy she was carried out  tumoral resection with inargins of 5 cm. foliowing approaches of Enneking (surgery of  salvation of the member). Several cycles of chemotherapy were completed after surgery.  The patient, after seventeen years, is free of illness. Discussion: Traditionally in the reatment of the located osteosarcoma you proceeded to the radical amputation for norm. At the moment due to the advances of the surgical and diagnostic techniques (able to detect recociously the local and distant dissemination of the tumor) it is possible to make other  therapeutic modalities that preserve the member until in 90% of the patients. Thanks to the use of the chemotherapy the rate of survival nowadays approaches to 70% in those cases  diagnosed previously to the metastasis appearance. At the moment in those cases tu which the illness is located, the tumoral size is reduced and have a good answer to the preoperatroy chemotherapy, It is more advisable to opt for a surgery of salvation of the limb making a wise resection at distance of the margins of the tumor and accompanying it of cycles of combined chemotherapy.