Analysis of 24 patients who were amputated due to a malignant tumor in the skeleton

Abstract

Aim: The purpose of the study was to assess the cases that were amputated in our clinic due to primary malignant and metastatic bone and soft tissue tumor. Material and Method: 24 cases that were amputated due to primary malignant and metastatic bone and soft tissue tumor between January 1987 and January 2012 were examined retrospectively. The cases were assessed in terms of age, gender, pathological diagnosis, localization, type of amputation, survival and characteristics. The data obtained were transferred to SPSS 15.0 program and analyzed. Normality distributions of the data were analyzed with Shapiro-Wilk test. Results: Of the 24 cases, 17 (70%) were men, while 7 (30%) were women and the average age was 42 (between 12 and 68). The most common reasons for amputation were skin cancer (25%), Ewing sarcoma (20.8%), Osteosarcoma (16.6%) and others (Malignant mesenchymal tumor, chondrosarcoma, synovial sarcoma, metastatic tumor). 16 of these patients had previously received an intervention in a different centre at least once. The most common type of amputation was above-knee amputation (58.3%), below-knee amputation (25%) and others (hip disarticulation, below-elbow amputation). 8 patients were found to have skin problems and debridement was performed on 6. 14 cases died within the postoperative first year. Discussion: Amputation can be performed for the treatment of the patient’s other health problems and fast and local controls of advanced malignant extremity tumors. © 2016, Journal of Clinical and Analytical Medicine. All rights reserved.