Radioterapia neoadyuvante e intraoperatoria en sarcoma de muslo y región poplítea para salvamento de extremidad. Reporte de caso y revisión de la literatura

Autores/as

  • Daniel Fernando Contreras-Pérez Cirugía de Mama y Tumores de Tejidos Blandos, Hospital Pablo Tobón Uribe, Medellín, Colombia
  • Carlos Lehmann-Mosquera Cirugía de Mama y Tumores de Tejidos Blandos, Instituto Nacional de Cancerología, Bogotá, Colombia

DOI:

https://doi.org/10.35509/01239015.76

Palabras clave:

Sarcoma, Tejidos blandos, Partes blandas, Extremidades, Radioterapia, Terapia neoadyuvante, Radioterapia ayuvante, Tratamientos conservadores del órgano

Resumen

Los sarcomas de tejidos blandos de las extremidades necesitan para su manejo la realización de resecciones oncológicas amplias con el fin de lograr márgenes negativos. En ocasiones los casos con compromiso de estructuras neurovasculares y/u óseas requieren la amputación de la extremidad como única alternativa quirúrgica. Presentamos el caso de un paciente con diagnóstico de liposarcoma que comprometía la fosa poplítea y el paquete neurovascular. Recibió radioterapia neoadyuvante, resección compartimental y radioterapia intraoperatoria, que posibilitaron la conservación de la extremidad. La cirugía logró márgenes microscópicos libres, con una adecuada funcionalidad y sin recaída a los 42 meses de seguimiento.

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Cómo citar

[1]
Contreras-Pérez, D.F. y Lehmann-Mosquera, C. 2019. Radioterapia neoadyuvante e intraoperatoria en sarcoma de muslo y región poplítea para salvamento de extremidad. Reporte de caso y revisión de la literatura. Revista Colombiana de Cancerología. 23, 1 (feb. 2019), 28–34. DOI:https://doi.org/10.35509/01239015.76.

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Publicado

2019-02-13

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