Anterior abdominal wall extraosseous osteosarcoma, occurring 40 years after para-aortic irradiation

Muhammad Furrukh, Asim Qureshi, Nadira Mamoon, Menahil Fatima

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Extraskeletal osteosarcomas (OSs) are highly malignant soft tissue tumours associated with a poor prognosis. Only a few records of these rare aggressive neoplasms have been reported in the literature. We describe the case of a 49-year-old man, who presented to our tertiary care centre with a painful isolated lump around the umbilicus. After surgical biopsy, imaging and subsequent pathological analysis, the swelling was diagnosed to be a localised extraskeletal OS. He received previous radiation as treatment for testicular seminoma 40 years ago, which has been in remission ever since. He also happens to have testicular hydrocele since 10 years. He was subjected to resection and free flap reconstruction complicated by lower anterior abdominal wall haematoma and large pseudoaneurysm of the left femoral artery. Patient completed 60 Gy of adjuvant electron beam irradiation for close margins and is scheduled for adjuvant chemotherapy. We describe a brief account of his illness.

Original languageEnglish
Article number219722
JournalBMJ Case Reports
Volume2017
DOIs
Publication statusPublished - 2017

Fingerprint

Abdominal Wall
Osteosarcoma
Testicular Hydrocele
Umbilicus
Seminoma
Free Tissue Flaps
False Aneurysm
Femoral Artery
Adjuvant Chemotherapy
Tertiary Care Centers
Hematoma
Neoplasms
Electrons
Radiation
Biopsy
Therapeutics

Keywords

  • Cancer
  • Oncology

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Anterior abdominal wall extraosseous osteosarcoma, occurring 40 years after para-aortic irradiation. / Furrukh, Muhammad; Qureshi, Asim; Mamoon, Nadira; Fatima, Menahil.

In: BMJ Case Reports, Vol. 2017, 219722, 2017.

Research output: Contribution to journalArticle

@article{db8dccc92eb044fa8d7fa17ae2b26dcb,
title = "Anterior abdominal wall extraosseous osteosarcoma, occurring 40 years after para-aortic irradiation",
abstract = "Extraskeletal osteosarcomas (OSs) are highly malignant soft tissue tumours associated with a poor prognosis. Only a few records of these rare aggressive neoplasms have been reported in the literature. We describe the case of a 49-year-old man, who presented to our tertiary care centre with a painful isolated lump around the umbilicus. After surgical biopsy, imaging and subsequent pathological analysis, the swelling was diagnosed to be a localised extraskeletal OS. He received previous radiation as treatment for testicular seminoma 40 years ago, which has been in remission ever since. He also happens to have testicular hydrocele since 10 years. He was subjected to resection and free flap reconstruction complicated by lower anterior abdominal wall haematoma and large pseudoaneurysm of the left femoral artery. Patient completed 60 Gy of adjuvant electron beam irradiation for close margins and is scheduled for adjuvant chemotherapy. We describe a brief account of his illness.",
keywords = "Cancer, Oncology",
author = "Muhammad Furrukh and Asim Qureshi and Nadira Mamoon and Menahil Fatima",
year = "2017",
doi = "10.1136/bcr-2017-219722",
language = "English",
volume = "2017",
journal = "BMJ Case Reports",
issn = "1757-790X",
publisher = "BMJ Publishing Group",

}

TY - JOUR

T1 - Anterior abdominal wall extraosseous osteosarcoma, occurring 40 years after para-aortic irradiation

AU - Furrukh, Muhammad

AU - Qureshi, Asim

AU - Mamoon, Nadira

AU - Fatima, Menahil

PY - 2017

Y1 - 2017

N2 - Extraskeletal osteosarcomas (OSs) are highly malignant soft tissue tumours associated with a poor prognosis. Only a few records of these rare aggressive neoplasms have been reported in the literature. We describe the case of a 49-year-old man, who presented to our tertiary care centre with a painful isolated lump around the umbilicus. After surgical biopsy, imaging and subsequent pathological analysis, the swelling was diagnosed to be a localised extraskeletal OS. He received previous radiation as treatment for testicular seminoma 40 years ago, which has been in remission ever since. He also happens to have testicular hydrocele since 10 years. He was subjected to resection and free flap reconstruction complicated by lower anterior abdominal wall haematoma and large pseudoaneurysm of the left femoral artery. Patient completed 60 Gy of adjuvant electron beam irradiation for close margins and is scheduled for adjuvant chemotherapy. We describe a brief account of his illness.

AB - Extraskeletal osteosarcomas (OSs) are highly malignant soft tissue tumours associated with a poor prognosis. Only a few records of these rare aggressive neoplasms have been reported in the literature. We describe the case of a 49-year-old man, who presented to our tertiary care centre with a painful isolated lump around the umbilicus. After surgical biopsy, imaging and subsequent pathological analysis, the swelling was diagnosed to be a localised extraskeletal OS. He received previous radiation as treatment for testicular seminoma 40 years ago, which has been in remission ever since. He also happens to have testicular hydrocele since 10 years. He was subjected to resection and free flap reconstruction complicated by lower anterior abdominal wall haematoma and large pseudoaneurysm of the left femoral artery. Patient completed 60 Gy of adjuvant electron beam irradiation for close margins and is scheduled for adjuvant chemotherapy. We describe a brief account of his illness.

KW - Cancer

KW - Oncology

UR - http://www.scopus.com/inward/record.url?scp=85021245115&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85021245115&partnerID=8YFLogxK

U2 - 10.1136/bcr-2017-219722

DO - 10.1136/bcr-2017-219722

M3 - Article

C2 - 28645924

AN - SCOPUS:85021245115

VL - 2017

JO - BMJ Case Reports

JF - BMJ Case Reports

SN - 1757-790X

M1 - 219722

ER -