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Article Open Access

Surgical management of pelvic Ewing's sarcoma in children and adolescents

  • Authors:
    • Hongbin Fan
    • Zheng Guo
    • Jun Fu
    • Xiangdong Li
    • Jing Li
    • Zhen Wang
  • View Affiliations / Copyright

    Affiliations: Department of Orthopedic Surgery, Xi‑Jing Hospital, The Fourth Military Medical University, Xi'an, Shaanxi 710032, P.R. China
    Copyright: © Fan et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Pages: 3917-3926
    |
    Published online on: July 26, 2017
       https://doi.org/10.3892/ol.2017.6677
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Abstract

The present study describes a novel surgical strategy used to treat immature pelvic Ewing's sarcoma (ES), one made possible owing to the intrinsic structure of the skeletally immature pelvis. A total of 12 children and adolescents with open triradiate cartilage received limb‑salvage surgeries following a diagnosis of pelvic ES. In total, 3 patients with iliac lesions (2 lesions with extension into the sacrum) received surgical tumor excisions and allograft reconstructions. Another 8 patients with periacetabular lesions received trans‑acetabular osteotomies and allograft reconstructions. No reconstruction was performed on 1 patient following excision of a pubic lesion. The median follow‑up time was 39 months. At the time of the final follow‑up appointment, 9 patients exhibited no evidence of disease, 2 patients had slow progressive pulmonary metastasis, 1 patient exhibited local recurrence of the disease and 1 patient had succumbed to the disease 24 months after surgery. Complications included issues with wound healing in 1 patient, a discrepancy in leg length in another and a screw loosening in a further patient. The patients had a mean Musculoskeletal Tumor Society score of 26 points and a mean International Society of Limb Salvage radiographic score of 90.1%. The proposed surgical strategy for children and adolescents with pelvic ES in the present study could provide a feasible solution for acetabulum salvage and local tumor control.
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Copy and paste a formatted citation
Spandidos Publications style
Fan H, Guo Z, Fu J, Li X, Li J and Wang Z: Surgical management of pelvic Ewing's sarcoma in children and adolescents. Oncol Lett 14: 3917-3926, 2017.
APA
Fan, H., Guo, Z., Fu, J., Li, X., Li, J., & Wang, Z. (2017). Surgical management of pelvic Ewing's sarcoma in children and adolescents. Oncology Letters, 14, 3917-3926. https://doi.org/10.3892/ol.2017.6677
MLA
Fan, H., Guo, Z., Fu, J., Li, X., Li, J., Wang, Z."Surgical management of pelvic Ewing's sarcoma in children and adolescents". Oncology Letters 14.4 (2017): 3917-3926.
Chicago
Fan, H., Guo, Z., Fu, J., Li, X., Li, J., Wang, Z."Surgical management of pelvic Ewing's sarcoma in children and adolescents". Oncology Letters 14, no. 4 (2017): 3917-3926. https://doi.org/10.3892/ol.2017.6677
Copy and paste a formatted citation
x
Spandidos Publications style
Fan H, Guo Z, Fu J, Li X, Li J and Wang Z: Surgical management of pelvic Ewing's sarcoma in children and adolescents. Oncol Lett 14: 3917-3926, 2017.
APA
Fan, H., Guo, Z., Fu, J., Li, X., Li, J., & Wang, Z. (2017). Surgical management of pelvic Ewing's sarcoma in children and adolescents. Oncology Letters, 14, 3917-3926. https://doi.org/10.3892/ol.2017.6677
MLA
Fan, H., Guo, Z., Fu, J., Li, X., Li, J., Wang, Z."Surgical management of pelvic Ewing's sarcoma in children and adolescents". Oncology Letters 14.4 (2017): 3917-3926.
Chicago
Fan, H., Guo, Z., Fu, J., Li, X., Li, J., Wang, Z."Surgical management of pelvic Ewing's sarcoma in children and adolescents". Oncology Letters 14, no. 4 (2017): 3917-3926. https://doi.org/10.3892/ol.2017.6677
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