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CASE 7: Arm Leiomyosarcoma
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A patient who presented to a different center with swelling and pain in the arm underwent curettage, grafting, and intramedullary nail fixation surgery without biopsy, based on a preliminary diagnosis of benign tumor. The pathology result revealed soft tissue sarcoma.LeiomyosarkomThe patient, whose scans revealed no metastases, underwent radiotherapy followed by wide resection to remove the tumor with clean margins, and then reconstruction with a proximal femur tumor prosthesis.
Preoperative: The X-ray shows a poorly defined lytic lesion located on the proximal humerus at the time of initial presentation, and graft and intramedullary nail placement after the first surgery.
Preoperative: MRI shows intense artifacts due to the nail, PET-CT shows increased activity.
Surgery Scene: Clinical and fluoroscopy images of the removed tumor are shown.
During the operation: The image shows the axillary nerve, radial nerve, stem placement in the recovered bone followed by plate fixation, proximal humerus tumor prosthesis placement, and suturing with prolene mesh.
Postoperative: The X-ray shows the fixation of the recovered distal bone with an anatomical plate after resection and the placement of a cemented proximal humerus tumor prosthesis.
