CASE 11: Posterior Chondrosarcoma of the Iliac Wing

• 47-year-old female patient
• She has a history of surgery and radiotherapy for cervical cancer.
• The patient presented with a complaint of pain in the back of the right hip.
• Radiological examinations revealed a mass in the posterior iliac wing.
• Closed needle biopsy was evaluated as chondrosarcoma.
• No metastases were detected in the scans.
• The patient underwent extensive resection (Type I hemipelvectomy) followed by reconstruction (fibula + rod/screw).

Preoperative: MRI shows a heterogeneous, contrast-enhancing mass located posterior to the iliac wing; PET-CT shows intense enhancement.

Surgical Scene: The hemipelvectomy procedure and subsequent reconstruction are shown.

During the operation: Clinical and radiological images of the removed resected tissue.

Postoperative: X-ray shows fibula and rod/screw reconstruction after Type I hemipelvectomy.