1. Home
  2. Vol 17, No 2 (2023)
  3. Hafiz

Left Hindquarter Amputation due to High-Grade Pleomorphic Sarcoma of the Groin: A Case Report

M. Zaki Abdul Hafiz, Bayu Brahma, Rian Fabian Sofyan

Abstract


Introduction:Hindquarter amputation or known as hemipelvectomy is a surgical technique that is primarily used for the eradication of malignant primary soft tissue and bone tumors of the pelvis, hip, and upper thigh regions. Occasionally, hindquarter amputation has been employed in the treatment of severe trauma, metastases, and infection. This case report aims to give a lesson in the case of the High-Grade Pleomorphic Sarcoma of the Groin because this is a very rare case and most patients are not willing to undergo amputation.

Case Presentation: A 54-year-old male patient came with a complaint of a lump in the thigh. Initially, the lump was as big as a marble and has been getting bigger since last year. The size of the lump was approximately 30 x 30 x 30 cm

Conclusions: The most common indications for amputation in patients with the primary localized disease were extensive involvement of the limb-girdle, multiple muscle compartment involvement, multifocality, and unsuitability for limb-sparing surgery, typically due to lack of a salvage option. Hindquarter amputation was used as a treatment for 13% of all pelvic bone sarcomas where there is a realistic chance of control of symptoms or long-term survival.comas.


Keywords


hindquarter amputation, groin sarcomas.

Full Text: View | Download

DOI: 10.33371/ijoc.v17i2.957

Article Metrics

Abstract View: 339,
PDF Download: 324
             

References


Karakousis CP. Atlas of Operative Procedures in

Surgical Oncology. Hemipelvectomy (Hindquarter

Amputation). 2015(1):361–8.

Morrison BA. Soft tissue sarcomas of the extremities.

BUMC Proceedings. 2003 Jul;16(3):285–90.

Enzinger FM, Weiss SW. Soft Tissue Tumors, 2nd

ed. St. Louis: CV Mosby, 1988:2.

Han I, Lee YM, Cho HS, et al. Outcome after surgical

treatment of pelvic sarcomas. Clin Orthop Surg.

:2:160–6.

Wu KK, Guise ER, Frost HM, Mitchell CL. The surgical

technique for hindquarter amputation. A report of

cases. Acta Orthop Scand. 1977;48(5):479–86.

Brooks AD, Bowne WB, Delgado R, et al. Soft tissue

sarcomas of the groin: diagnosis, management, and

prognosis. J Am Coll Surg. 2001 Aug;193(2):130–6.

Grimer RJ, Chandrasekar CR, Carter SR, et al.

Hindquarter amputation: is it still needed and what

are the outcomes? Bone Joint J. 2013

Jan;95-B(1):127–31.

Brennan MF, Lewis JJ. Soft tissue sarcomas and bone

tumors. In Townsend CM, Beauchamp DR, Evers MB,

Mattox KL, eds. Sabiston Textbook of Surgery: The

Biological Basis of Modern Surgical Practice, 16th ed.

Philadelphia: WB Saunders Co, 2001:511–17.

Ewing J. Neoplastic Diseases: A Treatise on Tumors.

St. Louis: Mosby-Year Book Inc, 1993:4.

Erstad DJ, Raut CP. Amputation for Sarcoma:

Revisiting a 19th Century in the 21st Century. Ann

Surg Oncol. 2018(25):351–3.

Materson EL, Davies AM, Wunder JS, Bell RS.

Hindquarter amputation for pelvic tumors: the

importance of patient selection. Clin Orthop Relat

Res. 1998(350):187–94.

Kiiski J, Parry MC, Nail LRL, et al. Surgical and

oncological outcomes after hindquarter amputation

for pelvic sarcoma. Bone Joint J, 2020;102-B(6):788–94.

Hillmann A, Hoffmann C, Gosheger. Tumors of the

pelvis: complications after reconstruction. Arch

Orthop Trauma Surg. 2003(123):340–4.


Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.