tailieunhanh - Báo cáo y học: "Management dilemma of a recurrent huge fibrosarcoma in a 25-year-old African: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Management dilemma of a recurrent huge fibrosarcoma in a 25-year-old African: a case report | JOURNAL OF MEDICAL Sr CASE REPORTS Open Access Case report Management dilemma of a recurrent huge fibrosarcoma in a 25-year-old African a case report Ismaila A Adigun Kolawole O Ogundipe and Jibril O Bello Address Division of Plastic and Reconstructive Surgery Department of Surgery University of Ilorin Teaching Hospital Ilorin Nigeria Email IAA - KOO - koogundipe@ JOB - bellojibril@ Corresponding author Received 4 August 2008 Accepted 22 January 2009 Published II June 2009 Journal ofMedical Case Reports 2009 3 7267 doi 1752-1947-3-7267 This article is available from http jmedicalcasereports article view 7267 2009 Adigun et al licensee Cases Network Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Soft tissue sarcomas are rare tumours that are infrequently seen in most surgical practices. They can occur in any anatomic region of the body. The size of a soft tissue sarcoma is an important prognostic variable and so affects the quality of tumour resection. Case presentation A 25-year-old Nigerian African presented with recurrent huge fibrosarcoma measuring about 55 X 40 X 10 cm at his posterior trunk. The patient s clinical condition was poor the tumour seemed unresectable and the patient looked inoperable. He had an extensive excision of the tumour but could not afford adjuvant therapies. He was discharged home against medical advice but may succumb to metastases. Conclusion Sarcomas in black people can present as extremely large masses the dilemma in management is not only limited to the delay in presentation but also the poor socio-economic status of the patients and the frequent non-availability of supporting services. Treatment grants or subsidies