Metachronous Osteosarcoma: A Rare Case Report

Authors

  • Kow Ren Yi
  • Goh Kian Liang

DOI:

https://doi.org/10.31436/imjm.v18i2.655

Abstract

Introduction: Osteosarcoma is a common primary sarcoma of the bone, constituting approximately 0.07% of all neoplasms. Rarely, some patients with osteosarcoma have multiple skeletal sites involvement, either synchronous or metachronous. Metachronous osteosarcoma is a rare form of osteosarcoma in which osteosarcomatous lesions occur distant from the primary osteosarcoma site more than 6 months after the initial treatment without pulmonary manifestation. Case Report: We present a case of metachronous osteosarcoma in a 16-year-old female who was initially treated for non-metastatic osteosarcoma of the left distal femur with neoadjuvant chemotherapy, wide excision, endoprosthesis and followed by adjuvant chemotherapy. Serial follow-up did not show evidence of distant metastasis. Nevertheless, she presented 3 years later with a progressively enlarging left proximal forearm mass and re-staging revealed an osteosarcoma of the same histological type. She underwent combination of chemo- and radio- therapy but subsequently succumbed to the disease due to lung metastasis. Conclusion: With the advent of diagnostic and therapeutic techniques, the 5-year survival rate of nonmetastatic osteosarcoma ranges around 60-70%. Albeit it is rare, a metachronous osteosarcoma can present difficult challenges to the treating physician.

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Published

2020-01-15

How to Cite

Yi, K. R. ., & Liang , G. K. . (2020). Metachronous Osteosarcoma: A Rare Case Report. IIUM Medical Journal Malaysia, 18(2). https://doi.org/10.31436/imjm.v18i2.655

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