Surgical management of pelvic tumors through hemipelvectomy

Authors

  • Edgar Joaquín Cortes-Torres <p>Instituto Mexicano del Seguro Social, Centro M&eacute;dico Nacional de Occidente, Unidad M&eacute;dica de Alta Especialidad, Departamento de Cirug&iacute;a Oncol&oacute;gica. Guadalajara, Jalisco, M&eacute;xico</p> http://orcid.org/0000-0002-0430-2888
  • Erick Gutiérrez-Quezada <p>Instituto Mexicano del Seguro Social, Centro M&eacute;dico Nacional de Occidente, Unidad M&eacute;dica de Alta Especialidad, Departamento de Cirug&iacute;a Oncol&oacute;gica. Guadalajara, Jalisco, M&eacute;xico.</p> http://orcid.org/0009-0001-1841-1954
  • Clotilde Fuentes-Orozco <p>Instituto Mexicano del Seguro Social, Centro M&eacute;dico Nacional de Occidente, Unidad M&eacute;dica de Alta Especialidad, Unidad de Investigaci&oacute;n Biom&eacute;dica 02. Guadalajara, Jalisco, M&eacute;xico.</p> http://orcid.org/0000-0001-6230-8359
  • Juan Armando Flores-Prado <p>Instituto Mexicano del Seguro Social, Centro M&eacute;dico Nacional de Occidente, Unidad M&eacute;dica de Alta Especialidad, Unidad de Investigaci&oacute;n Biom&eacute;dica 02. Guadalajara, Jalisco, M&eacute;xico.</p> http://orcid.org/0000-0002-4887-1038
  • Gonzalo Delgado-Hernández <p>Instituto Mexicano del Seguro Social, Centro M&eacute;dico Nacional de Occidente, Unidad M&eacute;dica de Alta Especialidad, Unidad de Investigaci&oacute;n Biom&eacute;dica 02. Guadalajara, Jalisco, M&eacute;xico.</p> http://orcid.org/0000-0001-9360-3254
  • Jaime Alberto Tavares-Ortega <p>Instituto Mexicano del Seguro Social, Centro M&eacute;dico Nacional de Occidente, Unidad M&eacute;dica de Alta Especialidad, Unidad de Investigaci&oacute;n Biom&eacute;dica 02. Guadalajara, Jalisco, M&eacute;xico.</p> http://orcid.org/0000-0002-1066-0446
  • Alejandro González-Ojeda <p>Instituto Mexicano del Seguro Social, Centro M&eacute;dico Nacional de Occidente, Unidad M&eacute;dica de Alta Especialidad, Unidad de Investigaci&oacute;n Biom&eacute;dica 02. Guadalajara, Jalisco, M&eacute;xico.</p> http://orcid.org/0000-0003-2935-8703

DOI:

https://doi.org/10.5281/zenodo.10711647

Keywords:

Mortality, Recurrence, Osteosarcomas, Hemipelvectomy

Abstract

Background: Primary malignant bone tumors are rare however, have a high global mortality rate. Osteosarcoma and chondrosarcoma are the most common bone sarcomas in the pelvis. The surgical management of primary bone tumors in the pelvis is challenging and depends on several factors. Internal hemipelvectomy with extremity preservation has become more popular compared to external hemipelectomy.

Objective: Identify and describe characteristics of the surgical management of bone tumors and soft tissues of the pelvis by means of hemipelvectomy.

Material and methods: Observational study of consecutive cases, in which patients with bone and soft tissue tumors undergoing hemipelvectomy were identified from January 2010 to December 2020 at the Oncology Surgery Department, using the Musculoskeletal Tumor Society (MSTS) scale.

Results: 17 patients with pelvic tumors were included, 10 (58.8%) primary bone sarcomas, 3 (17.6%) soft tissue sarcomas, 3 (17.6%) benign bone tumors, 1 (5.8%) neoplasia of hematological origin. Average follow-up of 30 ± 14. Most frequent surgical complication, surgical wound seroma, 6 patients (37.5%).

Conclusions: A multidisciplinary team is required to individualize treatment with the best sequence of options, giving improvement in oncological and functional results.

 

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Author Biographies

  • Edgar Joaquín Cortes-Torres, <p>Instituto Mexicano del Seguro Social, Centro M&eacute;dico Nacional de Occidente, Unidad M&eacute;dica de Alta Especialidad, Departamento de Cirug&iacute;a Oncol&oacute;gica. Guadalajara, Jalisco, M&eacute;xico</p>

    Médico de base

    Jefe de servicio del Departamento de Cirugía Oncológica, Unidad Médica de Alta Especialidad, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social.

  • Erick Gutiérrez-Quezada, <p>Instituto Mexicano del Seguro Social, Centro M&eacute;dico Nacional de Occidente, Unidad M&eacute;dica de Alta Especialidad, Departamento de Cirug&iacute;a Oncol&oacute;gica. Guadalajara, Jalisco, M&eacute;xico.</p>

    Residente de cirugía oncológica.

  • Clotilde Fuentes-Orozco, <p>Instituto Mexicano del Seguro Social, Centro M&eacute;dico Nacional de Occidente, Unidad M&eacute;dica de Alta Especialidad, Unidad de Investigaci&oacute;n Biom&eacute;dica 02. Guadalajara, Jalisco, M&eacute;xico.</p>

    Investigador titular B

    SNI 2

  • Juan Armando Flores-Prado, <p>Instituto Mexicano del Seguro Social, Centro M&eacute;dico Nacional de Occidente, Unidad M&eacute;dica de Alta Especialidad, Unidad de Investigaci&oacute;n Biom&eacute;dica 02. Guadalajara, Jalisco, M&eacute;xico.</p>

    Medico Pasante del Servicio Social

  • Gonzalo Delgado-Hernández, <p>Instituto Mexicano del Seguro Social, Centro M&eacute;dico Nacional de Occidente, Unidad M&eacute;dica de Alta Especialidad, Unidad de Investigaci&oacute;n Biom&eacute;dica 02. Guadalajara, Jalisco, M&eacute;xico.</p>

    Medico Pasante del Servicio Social

  • Jaime Alberto Tavares-Ortega, <p>Instituto Mexicano del Seguro Social, Centro M&eacute;dico Nacional de Occidente, Unidad M&eacute;dica de Alta Especialidad, Unidad de Investigaci&oacute;n Biom&eacute;dica 02. Guadalajara, Jalisco, M&eacute;xico.</p>

    Medico Pasante del Servicio Social

  • Alejandro González-Ojeda, <p>Instituto Mexicano del Seguro Social, Centro M&eacute;dico Nacional de Occidente, Unidad M&eacute;dica de Alta Especialidad, Unidad de Investigaci&oacute;n Biom&eacute;dica 02. Guadalajara, Jalisco, M&eacute;xico.</p>

    Médico cirujano especialista en cirugía general y gastroenterología. Investigador titular D, SNI 3.

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Published

2024-03-27

Issue

Vol. 62 No. 2 (2024): March-April

Section

Original Articles

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