The Journal of the Korean bone and joint tumor society (대한골관절종양학회지)

The Korean Musculoskeletal Tumor Society (대한근골격종양학회)
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Lymph Node Metastasis of Osteosarcoma - A Case Report -

임파절에 전이한 골육종 - 1례 보고 -

  • Hwang, Sung-Kwan (Department of Orthopedic Surgery, Wonju College of Medicine, Yonsei University) ;
  • Park, Heui-Jeon (Department of Orthopedic Surgery, Wonju College of Medicine, Yonsei University) ;
  • Yoon, Yeo-Seung (Department of Orthopedic Surgery, Wonju College of Medicine, Yonsei University) ;
  • Rha, Jung-Ho (Department of Orthopedic Surgery, Wonju College of Medicine, Yonsei University) ;
  • Oh, Jin-Rok (Department of Orthopedic Surgery, Wonju College of Medicine, Yonsei University) ;
  • Kim, Ki-Ho (Department of Orthopedic Surgery, Wonju College of Medicine, Yonsei University) ;
  • Kim, Dong-Jin (Department of Radiology, Wonju College of Medicine, Yonsei University) ;
  • Yang, Kyung-Moo (Department of Pathology, Wonju College of Medicine, Yonsei University) ;
  • Cho, Mee-Yon (Department of Pathology, Wonju College of Medicine, Yonsei University)
  • 황성관 (연세대학교 원주의과대학 정형외과학교실) ;
  • 박희전 (연세대학교 원주의과대학 정형외과학교실) ;
  • 윤여승 (연세대학교 원주의과대학 정형외과학교실) ;
  • 나중호 (연세대학교 원주의과대학 정형외과학교실) ;
  • 오진록 (연세대학교 원주의과대학 정형외과학교실) ;
  • 김기호 (연세대학교 원주의과대학 정형외과학교실) ;
  • 김동진 (연세대학교 원주의과대학 방사선과학교실) ;
  • 양경무 (연세대학교 원주의과대학 병리학교실) ;
  • 조미연 (연세대학교 원주의과대학 병리학교실)
  • Published : 1998.03.30
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Abstract

Osteosarcoma is the most common primary bone tumor except for multiple myeloma. Hematogenous spread of osteosarcoma presents the t1susal route of dissemination. Lung metastasis is the most common, however the lymph node involvement is quite rare. In addition, according to Mirra, radiologically detectable involvement of lymph node is an extremely rare manifestation of osteosarcoma. The authors had experienced a patient with an osteosarcoma of the right distal femur which spread to the right inguinal lymph node and lung. After preoperative chemotheraphy, a limb salvage operation was performed around the lesion of right distal femur and the right inguinal lymph nodes were dissected. A adjuvant postoperative chemotheraphy was performed. After the treatment, there was no recurrence of osteosarcoma or any other metastatic evidence for two years and 8 months.

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