[Surgical management of malignant bone tumors in the child. Saint-Etienne Hospital experience, apropos of 17 cases].
From 1980 to 1997, seventeen children were treated for malignant bone tumors in the Department of Paediatric Surgery of the Saint-Etienne Hospital, with an average follow-up of 6 years and 3 months (2M-17Y). The histologic diagnoses were osteosarcomas (12 cases) and Ewing's sarcomas (5 cases). All children were treated surgically. For the 12 lower limb tumors, the techniques used were prosthetic replacement in 7 cases (associated with bone allograft in 3 cases), amputation in 3 cases and isolated bone allograft in 2 cases. The two ilium tumors were treated by resection and reconstruction with autologous bone graft. A single resection was performed for the shoulder-blade Ewing's tumors and a prosthesis for the 2 proximal humerus tumors. Six children died during follow-up. The authors stress that carcinologic resection is a priority before functional results. They insist on the mechanical failures of implants and on the difficulties of reoperations.
Cottalorda
J
J
Service de Chirurgie Infantile, Hôpital Nord, CHU de Saint-Etienne.
Stephan
J L
JL
Berger
C
C
Kohler
R
R
Dutour
N
N
Allard
D
D
Chavrier
Y
Y
D000293:Adolescent; D000671:Amputation, Surgical; D001186:Artificial Limbs; D001859:Bone Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D016025:Bone Transplantation; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009367:Neoplasm Staging; D012516:Osteosarcoma / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D012512:Sarcoma, Ewing / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D015996:Survival Rate