Document Type
Article
Publication Date
1-1-2010
Abstract
We describe an unusual case of osteosarcoma in a Jehovah's Witness patient who underwent chemotherapy and major surgery without the need for blood transfusion. This 16-year-old girl presented with osteosarcoma of the right proximal tibia requiring proximal tibia resection, followed by endoprosthesis replacement. She was successfully treated with neoadjuvant chemotherapy and surgery with the support of haematinics, granulocyte colony-stimulating factor, recombinant erythropoietin and intraoperative normovolaemic haemodilution. This case illustrates the importance of maintaining effective, open communication and exploring acceptable therapeutic alternative in the management of these patients, whilst still respecting their beliefs.
Keywords
Orthopaedic Surgery
Divisions
fac_med
Publication Title
World Journal of Surgical Oncology
Volume
8
Issue
1
Additional Information
Dhanoa, Amreeta Singh, Vivek A. Shanmugam, Rukmanikanthan Rajendram, Raja ---> Department of Orthopaedic Surgery, Faculty of Medicine Building, University of Malaya, 50603 Kuala Lumpur, MALAYSIA