CC BY 4.0 · Rev Bras Ortop (Sao Paulo) 2024; 59(04): e637-e640
DOI: 10.1055/s-0041-1731360
Relato de Caso
Oncologia

Retroperitoneal, Liver, and Lymph Node Metastasis from Proximal Tibial Osteosarcoma: A Case Report

Article in several languages: português | English
1   Departamento de Ortopedia e Traumatologia, Pontificia Universidad Javeriana, Bogotá, Colômbia
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2   Departamento de Ortopedia e Traumatologia, Pontificia Universidad Javeriana, Hospital Universitario San Ignacio, Bogotá, Colômbia
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2   Departamento de Ortopedia e Traumatologia, Pontificia Universidad Javeriana, Hospital Universitario San Ignacio, Bogotá, Colômbia
3   Departamento de Oncologia Ortopédica, Pontificia Universidad Javeriana, Hospital Universitario San Ignacio, Bogotá, Colômbia
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4   Departamento de Patologia, Pontificia Universidad Javeriana, Hospital Universitario San Ignacio, Bogotá, Colômbia
› Author Affiliations
Financial Support The authors declare that there was no financial support from public, commercial, or non-profit sources.

Abstract

The present study describes the case of a male adult with an osteosarcoma in the proximal tibia, treated with limb salvage with endoprosthesis and chemotherapy. The patient developed an unusual metastatic pattern compromising the liver, bone, and inguinal lymph nodes, without local recurrence in the tibia or pulmonary metastases. Osteosarcoma (OS) is the second most frequent primary bone tumor after multiple myeloma in adults. Frequent sites of metastases in case of disease progression are the lungs and bone. Extrapulmonary metastases are rare. The development of new schemes of chemotherapy have improved life expectancy in osteosarcoma patients but have also altered the usual patterns of metastases, resulting in unusual metastatic locations.

Work carried out at the Hospital Universitario San Ignacio, Bogotá, Colombia.




Publication History

Received: 15 December 2020

Accepted: 15 January 2021

Article published online:
13 October 2021

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