Metacarpal bone Ewing's sarcoma : utilizing autologous metatarsal graft as a reconstruction option following resection

Introduction: Ewing’s sarcoma is a rare, malignant neoplasm; common in both the axial and appendicular skeleton but originates rarely in the bones of the hand. Historically, treatment involves combination of chemotherapy and radiotherapy. Depending on the anatomic location, the role of surgical in...

Full description

Bibliographic Details
Main Authors: Wan Ismail, Wan Faisham Numan, Sharifudin, Mohd Ariff, Krishnan, Jagdish, Wan, Zulmi, Mat Zin, Nor Azman, Mohamed Amir, Nawaz Hussain
Format: Conference or Workshop Item
Language:English
English
Published: 2013
Subjects:
Online Access:http://irep.iium.edu.my/30516/
http://irep.iium.edu.my/30516/
http://irep.iium.edu.my/30516/1/MOA_2013_%28POSTER%29_-_02_-_EWINGS_MCB.pdf
http://irep.iium.edu.my/30516/2/MOA_2014_Conference_Book.pdf
id iium-30516
recordtype eprints
spelling iium-305162013-06-25T05:58:36Z http://irep.iium.edu.my/30516/ Metacarpal bone Ewing's sarcoma : utilizing autologous metatarsal graft as a reconstruction option following resection Wan Ismail, Wan Faisham Numan Sharifudin, Mohd Ariff Krishnan, Jagdish Wan, Zulmi Mat Zin, Nor Azman Mohamed Amir, Nawaz Hussain RB Pathology RC0254 Neoplasms. Tumors. Oncology (including Cancer) RD701 Orthopedics Introduction: Ewing’s sarcoma is a rare, malignant neoplasm; common in both the axial and appendicular skeleton but originates rarely in the bones of the hand. Historically, treatment involves combination of chemotherapy and radiotherapy. Depending on the anatomic location, the role of surgical intervention remains limited. Case Report: A case of an 11-year old girl with Ewing’s sarcoma of the first metacarpal bone of her dominant right hand with a solitary lung metastasis is described. Treatment consisted of neo- and adjuvant chemotherapy, and wide resection of the affected metacarpal bone followed by reconstruction of the thumb with an intercalated autologous second metatarsal bone graft. The bone gap at her left foot was filled with autologous tricortical iliac bone graft. At one year post-surgery, she achieved near normal functions of her dominant hand, with no donor sites morbidity. The surgical procedures are described together with the excellent functional outcomes of the patient. Discussion/ Conclusion: The use of autologous metatarsal bone graft to reconstruct the thumb following tumour resection is an excellent option available. It is relatively simple and can be performed in a single staged resection and reconstruction procedure. 2013-06 Conference or Workshop Item PeerReviewed application/pdf en http://irep.iium.edu.my/30516/1/MOA_2013_%28POSTER%29_-_02_-_EWINGS_MCB.pdf application/pdf en http://irep.iium.edu.my/30516/2/MOA_2014_Conference_Book.pdf Wan Ismail, Wan Faisham Numan and Sharifudin, Mohd Ariff and Krishnan, Jagdish and Wan, Zulmi and Mat Zin, Nor Azman and Mohamed Amir, Nawaz Hussain (2013) Metacarpal bone Ewing's sarcoma : utilizing autologous metatarsal graft as a reconstruction option following resection. In: 43rd Malaysian Orthopaedic Association Meeting/Annual Scientific Meeting, 5 - 8 June 2013, Kuching, Sarawak. http://www.morthoj.org
repository_type Digital Repository
institution_category Local University
institution International Islamic University Malaysia
building IIUM Repository
collection Online Access
language English
English
topic RB Pathology
RC0254 Neoplasms. Tumors. Oncology (including Cancer)
RD701 Orthopedics
spellingShingle RB Pathology
RC0254 Neoplasms. Tumors. Oncology (including Cancer)
RD701 Orthopedics
Wan Ismail, Wan Faisham Numan
Sharifudin, Mohd Ariff
Krishnan, Jagdish
Wan, Zulmi
Mat Zin, Nor Azman
Mohamed Amir, Nawaz Hussain
Metacarpal bone Ewing's sarcoma : utilizing autologous metatarsal graft as a reconstruction option following resection
description Introduction: Ewing’s sarcoma is a rare, malignant neoplasm; common in both the axial and appendicular skeleton but originates rarely in the bones of the hand. Historically, treatment involves combination of chemotherapy and radiotherapy. Depending on the anatomic location, the role of surgical intervention remains limited. Case Report: A case of an 11-year old girl with Ewing’s sarcoma of the first metacarpal bone of her dominant right hand with a solitary lung metastasis is described. Treatment consisted of neo- and adjuvant chemotherapy, and wide resection of the affected metacarpal bone followed by reconstruction of the thumb with an intercalated autologous second metatarsal bone graft. The bone gap at her left foot was filled with autologous tricortical iliac bone graft. At one year post-surgery, she achieved near normal functions of her dominant hand, with no donor sites morbidity. The surgical procedures are described together with the excellent functional outcomes of the patient. Discussion/ Conclusion: The use of autologous metatarsal bone graft to reconstruct the thumb following tumour resection is an excellent option available. It is relatively simple and can be performed in a single staged resection and reconstruction procedure.
format Conference or Workshop Item
author Wan Ismail, Wan Faisham Numan
Sharifudin, Mohd Ariff
Krishnan, Jagdish
Wan, Zulmi
Mat Zin, Nor Azman
Mohamed Amir, Nawaz Hussain
author_facet Wan Ismail, Wan Faisham Numan
Sharifudin, Mohd Ariff
Krishnan, Jagdish
Wan, Zulmi
Mat Zin, Nor Azman
Mohamed Amir, Nawaz Hussain
author_sort Wan Ismail, Wan Faisham Numan
title Metacarpal bone Ewing's sarcoma : utilizing autologous metatarsal graft as a reconstruction option following resection
title_short Metacarpal bone Ewing's sarcoma : utilizing autologous metatarsal graft as a reconstruction option following resection
title_full Metacarpal bone Ewing's sarcoma : utilizing autologous metatarsal graft as a reconstruction option following resection
title_fullStr Metacarpal bone Ewing's sarcoma : utilizing autologous metatarsal graft as a reconstruction option following resection
title_full_unstemmed Metacarpal bone Ewing's sarcoma : utilizing autologous metatarsal graft as a reconstruction option following resection
title_sort metacarpal bone ewing's sarcoma : utilizing autologous metatarsal graft as a reconstruction option following resection
publishDate 2013
url http://irep.iium.edu.my/30516/
http://irep.iium.edu.my/30516/
http://irep.iium.edu.my/30516/1/MOA_2013_%28POSTER%29_-_02_-_EWINGS_MCB.pdf
http://irep.iium.edu.my/30516/2/MOA_2014_Conference_Book.pdf
first_indexed 2023-09-18T20:44:40Z
last_indexed 2023-09-18T20:44:40Z
_version_ 1777409595426209792