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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo)
DOI: 10.1055/s-0041-1731360
Relato de Caso

Retroperitoneal, Liver and Lymph Node Metastasis from Proximal Tibial Osteosarcoma: A Case Report[*]

Article in several languages: português | English
Daniela Gutierrez 
1   Department of Orthopedics and Traumatology, Pontificia Universidad Javeriana, Bogotá, Colômbia
,
Carlos A. Sánchez 
2   Department of Orthopedics and Traumatology, Pontificia Universidad Javeriana, Hospital Universitario San Ignacio, Bogotá, Colômbia
,
Francisco B. Linares 
2   Department of Orthopedics and Traumatology, Pontificia Universidad Javeriana, Hospital Universitario San Ignacio, Bogotá, Colômbia
3   Department of Orthopedic Oncology, Pontificia Universidad Javeriana, Hospital Universitario San Ignacio, Bogotá, Colômbia
,
Oscar Messa 
4   Department of Pathology, Pontificia Universidad Javeriana, Hospital Universitario San Ignacio, Bogotá, Colômbia
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Abstract

The present study describes the case of a male adult with an osteosarcoma in the proximal tibia, treated with limb salvage with endoprosthesis and chemotherapy. The patient developed an unusual metastatic pattern compromising the liver, bone, and inguinal lymph nodes, without local recurrence in the tibia or pulmonary metastases. Osteosarcoma (OS) is the second most frequent primary bone tumor after multiple myeloma in adults. Frequent sites of metastases in case of disease progression are the lungs and bone. Extrapulmonary metastases are rare. The development of new schemes of chemotherapy have improved life expectancy in osteosarcoma patients but have also altered the usual patterns of metastases, resulting in unusual metastatic locations.

Keywords

osteosarcoma - tíbia - metástasis - lymphatic metastasis

* Work developed in the Hospital Universitario San Ignacio – Bogotá – Colombia.




Publication History

Received: 15 December 2020

Accepted: 15 January 2021

Article published online:
13 October 2021

© 2021. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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