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A CASE OF SUCCESSFULL LIMB SALVAGE

APPUMATHI ROGARAJAN

Abstract


Fibrosarcoma is a soft tissue tumor of  mesenchymal cell origin that is composed of malignant  fibroblasts in a collagenous back ground. Low grade                   fibrosarcomas are clinically indistinguishable from Aggressive fibromatosis. We report a case of extremity fibrosarcoma presenting as a large tumor in the left forearm. Though the tumor was large in size we proceeded with tumor excision and reconstruction with successful limb salvage of left            forearm, the reason being size of the tumor in the extremities does not determine the feasibility of limb salvage, but the Grade of the tumor does. To conclude, low grade soft tissue tumors, surgery is the main modality of treatment. In regions where conventional 2cm tumor clearance cant be given,  tumor is excised one plane beyond the involved plane. This case is presented for its rarity (Fibrosarcoma is rare in the forearm) and Successful Limb salvage.

 


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References


Devita, Hellman & Rosenberg's Cancer: Principles & Practice of Oncology, 8th Edition

Enzinger and Weiss’s Soft tissue tumors

Reitamo JJ, Hayry P, Nykyri E, et al. The desmoid tumor. I.Incidence, sex-, age- and anatomical distribution in the Finnish population. Am J Clin Pathol 1982; 77(6):665.

Posner MC, Shiu MH, Newsome JL, et al. The desmoid tumor is not a benign disease. Arch Surg 1989;124:191.


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