Myxofibrosarcoma is one of the most common sarcomas in elderly patients showing a slight male prevalence. The tumor is mainly located in lower and upper extremities and rarely in trunk, neck and feet. We present a case of a 84-year-old man referred to our tumour center with a giant and neglected high-grade tibial myxofibrosarcoma in the anteromedial side of tibial mid-diaphysis. Large size lesions in association with older age may jeopardise the maintenance of limb vitality, vascularity and stability.Authors performed a complete tumour resection, followed by reconstruction of bone and soft tissue defects with cement, plate and a musculocutaneous gastrocnemius flap, in order to cover the underlying bone and promote uneventful healing and perfusion of the operated extremity.At 2 years postoperatively, limb salvage, good functional outcome and no tumour recurrence were reported while the patient was able to effectively perform the majority of the daily activities.

Marotta, D., Angeloni, M., Salgarello, M., Ricciardella, M., Chalidis, B., Maccauro, G., Surgical treatment of a giant tibial high-grade mixofibrosarcoma with preservation of limb function: a case report, <<INTERNATIONAL SEMINARS IN SURGICAL ONCOLOGY>>, 2009; 6 (Settembre): 16-16. [doi:10.1186/1477-7800-6-16] [http://hdl.handle.net/10807/35396]

Surgical treatment of a giant tibial high-grade mixofibrosarcoma with preservation of limb function: a case report

Marotta, Domenico;Angeloni, Marina;Salgarello, Marzia;Maccauro, Giulio
2009

Abstract

Myxofibrosarcoma is one of the most common sarcomas in elderly patients showing a slight male prevalence. The tumor is mainly located in lower and upper extremities and rarely in trunk, neck and feet. We present a case of a 84-year-old man referred to our tumour center with a giant and neglected high-grade tibial myxofibrosarcoma in the anteromedial side of tibial mid-diaphysis. Large size lesions in association with older age may jeopardise the maintenance of limb vitality, vascularity and stability.Authors performed a complete tumour resection, followed by reconstruction of bone and soft tissue defects with cement, plate and a musculocutaneous gastrocnemius flap, in order to cover the underlying bone and promote uneventful healing and perfusion of the operated extremity.At 2 years postoperatively, limb salvage, good functional outcome and no tumour recurrence were reported while the patient was able to effectively perform the majority of the daily activities.
2009
Inglese
Marotta, D., Angeloni, M., Salgarello, M., Ricciardella, M., Chalidis, B., Maccauro, G., Surgical treatment of a giant tibial high-grade mixofibrosarcoma with preservation of limb function: a case report, <<INTERNATIONAL SEMINARS IN SURGICAL ONCOLOGY>>, 2009; 6 (Settembre): 16-16. [doi:10.1186/1477-7800-6-16] [http://hdl.handle.net/10807/35396]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10807/35396
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