CASE 8: Posterior Osteosarcoma of the Iliac Wing

• 24-year-old male patient
• The patient presented with pain and swelling in the back of the left hip.

• Radiological examinations revealed a mass in the posterior aspect of the left iliac wing causing bone destruction and containing a soft tissue component.
• A patient whose needle biopsy revealed osteosarcoma had no metastases in subsequent scans.
• The patient underwent extensive resection (Type I+IV) following 3 cycles of chemotherapy, followed by fibula reconstruction with rod/screw.

Before the surgery: X-ray shows irregularity in the posterior aspect of the left iliac wing, CT scan shows bone destruction, and MRI shows an accompanying soft tissue component.

Before the surgery: Increased intense activity is seen on PET-CT and scintigraphy.

During the Surgery: Resection and reconstruction procedures are observed.

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

Post-Surgery: Fibula and rod/screw reconstruction after internal hemipelvectomy is shown.