Other Techniques for Epiphyseal Preservation
Fig. 13.1 (a) Ewing’s sarcoma in the distal metaphysis of the femur of a 9-month-old baby. MRI shows is in contact with the physis. Most of our colleagues dealing with…
Worldwide Experience with the Cañadell Technique
No. Hospital Birth Age Gender MRI type Epiphysiolysis surgery Site Resection surgery Reconstruction method Chemo Follow-up (months) MSTS Limb length (L/R cm) Complication Pathology 1. JN 2001/4/21 11 Male 2…
A Histological Study of the Barrier Effect of the Physis Against Metaphyseal Osteosarcoma
Fig. 6.1 A necrotic osteoblastic osteosarcoma post-chemotherapy can be observed in the border next to the physis (H&E, ×200) Physeal invasion was observed in 13 of the 38 resection specimens…
Imaging-Based Indications for Resection with Epiphyseal Preservation
Fig. 9.1 (a) Osteosarcoma in the distal metaphysis of the femur of a 15-year-old boy. The tumor seems to have crossed the physis in the MRI image. (b, c) However,…
Conservation of the Epiphysis While Removing Metaphyseal Bone Tumors: Epiphysiolysis Before Excision
Fig. 10.1 Diagram showing the first surgical step Fig. 10.2 (a–c) Devices used in young children for distal tibia, distal fibula, and distal radius (yellow) and in adolescents for proximal…
Growth Plate Involvement in Malignant Bone Tumors: Relationship Between Imaging Methods and Histological Findings
Fig. 7.1 X-ray (a), angiography (b), and CT (c) images used for assessing tumor involvement of the epiphysis. (d) A bone scan of a different case showing an epiphysis free…
Consequences of Delayed Diagnosis
Osteosarcomas (n = 157) No. % Age at diagnosis (years) Median 13.3 Range (0–44) Sex Female 68 43.3 Male 89 56.7 Location Proximal femur 9 5.7 Distal femur 79 50.3 Proximal…
Location of Sarcomas Within Bone: The Growth Plate
Fig. 5.1 (a) Intercalary reconstruction of the tibia by using an allograft after resection of an osteosarcoma. Note the holes for patellar tendon reattachment. (b) In this case, preservation of…
Questions and Answers
Fig. 15.1 (a–c) The oldest patient in our series was 15 y-o Has the technique been employed in lytic lesions? From: Becker, Münster In: EMSOS, 1997 Meeting, Münster Answer: Yes….
Non-surgical Treatment of Pediatric Bone Sarcomas
© Springer International Publishing Switzerland 2016Mikel San-Julian (ed.)Cañadell’s Pediatric Bone Sarcomas10.1007/978-3-319-24220-0_2 2. Non-surgical Treatment of Pediatric Bone Sarcomas Luis Sierrasesúmaga1 , Isabel Martin2 and Moira Garraus3 (1) Department of Pediatrics, University Clinic of Navarra, Avda. Pio XII s/n…
