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Major surgery in an osteosarcoma patient refusing blood transfusion: case report.

Dhanoa A, Singh VA, Shanmugam R, Rajendram R - World J Surg Oncol (2010)

Bottom Line: This 16-year-old girl presented with osteosarcoma of the right proximal tibia requiring proximal tibia resection, followed by endoprosthesis replacement.She was successfully treated with neoadjuvant chemotherapy and surgery with the support of haematinics, granulocyte colony-stimulating factor, recombinant erythropoietin and intraoperative normovolaemic haemodilution.This case illustrates the importance of maintaining effective, open communication and exploring acceptable therapeutic alternative in the management of these patients, whilst still respecting their beliefs.

View Article: PubMed Central - HTML - PubMed

Affiliation: Jeffrey Cheah School of Medicine and Health Sciences, Monash University Sunway Campus, Malaysia. amreeta.dhanoa@med.monash.edu.my

ABSTRACT
We describe an unusual case of osteosarcoma in a Jehovah's Witness patient who underwent chemotherapy and major surgery without the need for blood transfusion. This 16-year-old girl presented with osteosarcoma of the right proximal tibia requiring proximal tibia resection, followed by endoprosthesis replacement. She was successfully treated with neoadjuvant chemotherapy and surgery with the support of haematinics, granulocyte colony-stimulating factor, recombinant erythropoietin and intraoperative normovolaemic haemodilution. This case illustrates the importance of maintaining effective, open communication and exploring acceptable therapeutic alternative in the management of these patients, whilst still respecting their beliefs.

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Related in: MedlinePlus

Postoperative radiographs showing the implant within the bone with an external knee brace.
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Figure 6: Postoperative radiographs showing the implant within the bone with an external knee brace.

Mentions: Patient was discharged after a week on full weight bearing crutches and hematinics with a hemoglobulin level of 10 g/dL, platelet count of 120 × 109/L and white cell count of 8 × 109/L. Her postoperative radiographs are as shown in figure 6. Adjuvant chemotherapy using the same agents was resumed 3 weeks after the surgery. She completed the remaining 3 cycles of chemotherapy uneventfully.


Major surgery in an osteosarcoma patient refusing blood transfusion: case report.

Dhanoa A, Singh VA, Shanmugam R, Rajendram R - World J Surg Oncol (2010)

Postoperative radiographs showing the implant within the bone with an external knee brace.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2991319&req=5

Figure 6: Postoperative radiographs showing the implant within the bone with an external knee brace.
Mentions: Patient was discharged after a week on full weight bearing crutches and hematinics with a hemoglobulin level of 10 g/dL, platelet count of 120 × 109/L and white cell count of 8 × 109/L. Her postoperative radiographs are as shown in figure 6. Adjuvant chemotherapy using the same agents was resumed 3 weeks after the surgery. She completed the remaining 3 cycles of chemotherapy uneventfully.

Bottom Line: This 16-year-old girl presented with osteosarcoma of the right proximal tibia requiring proximal tibia resection, followed by endoprosthesis replacement.She was successfully treated with neoadjuvant chemotherapy and surgery with the support of haematinics, granulocyte colony-stimulating factor, recombinant erythropoietin and intraoperative normovolaemic haemodilution.This case illustrates the importance of maintaining effective, open communication and exploring acceptable therapeutic alternative in the management of these patients, whilst still respecting their beliefs.

View Article: PubMed Central - HTML - PubMed

Affiliation: Jeffrey Cheah School of Medicine and Health Sciences, Monash University Sunway Campus, Malaysia. amreeta.dhanoa@med.monash.edu.my

ABSTRACT
We describe an unusual case of osteosarcoma in a Jehovah's Witness patient who underwent chemotherapy and major surgery without the need for blood transfusion. This 16-year-old girl presented with osteosarcoma of the right proximal tibia requiring proximal tibia resection, followed by endoprosthesis replacement. She was successfully treated with neoadjuvant chemotherapy and surgery with the support of haematinics, granulocyte colony-stimulating factor, recombinant erythropoietin and intraoperative normovolaemic haemodilution. This case illustrates the importance of maintaining effective, open communication and exploring acceptable therapeutic alternative in the management of these patients, whilst still respecting their beliefs.

Show MeSH
Related in: MedlinePlus