79yo 1st referal: 24.11.10 HPI: trauma. Presentation to the family … · 2018-06-18 · HPI: Since...
Transcript of 79yo 1st referal: 24.11.10 HPI: trauma. Presentation to the family … · 2018-06-18 · HPI: Since...
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diaphyseal femur; prosthesis
♀ 79yo 1st referal: 24.11.10
HPI:
Since September 2010 Pain left thigh without trauma. Presentation to the family doctor late October, with initial inquiries (MRI 18.11.2010)
PMH:
St.n. Myocardial infarction, stenting in 1998
St.n. Hysterectomy with adnexectomy 1984
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diaphyseal femur; prosthesis consultation, Nov 24, 2010
clinical findings:
• femoral diaphysis hard swelling
palpable, not displaceable, no
pressure pain
• Full hip and knee joint mobility.
• pDMS intact
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diaphyseal femur; prosthesis Nov 24, 2010
Diaphyseal osteolysis with irregularities in the matrix, periosteal reaction possible
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diaphyseal femur; prosthesis MRI L thigh, Nov 18, 2010
diaphyseal intramedullary lesion, contrast enhancement with an aggressive character
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diaphyseal femur; prosthesis CT-biopsy, Nov 24, 2010
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diaphyseal femur; prosthesis
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diaphyseal femur; prosthesis
Mib1
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diaphyseal femur; prosthesis pathology USZ, Nov 24, 2010
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diaphyseal femur; prosthesis pathology USZ, Nov 24, 2010
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diaphyseal femur; prosthesis CT chest+abd., Dec 02, 2010
No metastases. No thoracoabdominal lesions.
No osseous lesions.
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diaphyseal femur; prosthesis
Resection scheduled on 12/07/2010 with reconstruction
by intercalary prosthetic spacer with proximal and distal
“Spreizschaft”.
12/03/2010 fall -> pathological femoral fracture L
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diaphyseal femur; prosthesis x-ray L thigh, Dec 03, 2010
pathological femoral fracture L
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diaphyseal femur; prosthesis MRI L thigh, Dec. 06, 2010
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diaphyseal femur; prosthesis
surgery, Dec. 07, 2010
Tumor
distal proximal
* *
* femur
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diaphyseal femur; prosthesis surgery, Dec. 07, 2010
sciadic nerve
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diaphyseal femur; prosthesis surgery, Dec. 07, 2010
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diaphyseal femur; prosthesis surgery, Dec. 07, 2010
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diaphyseal femur; prosthesis surgery, Dec. 07, 2010
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diaphyseal femur; prosthesis x-ray L thigh, Dec. 07, 2010
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diaphyseal femur; prosthesis pathology USZ, Dec. 07, 2010
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diaphyseal femur; prosthesis Mar 2, 2011
multiple metastases
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diaphyseal femur; prosthesis Mar 2, 2011
suspicion of prosthesis loosening
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diaphyseal femur; prosthesis June 01, 2011
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diaphyseal femur; prosthesis G.A. 664798 CT Thorax, une 01, 2011
Multiple lung metastasis, number persistant, some metastasis
increasing, some decreasing. Stenosis of left main bronchus by
tumor mass
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diaphyseal femur; prosthesis Sept 7, 2011
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diaphyseal femur; prosthesis Sept 7, 2011
Multiple lung metastases, increasing size
increasing stenosis of left main bronchus
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diaphyseal femur; prosthesis CT Thorax, Dec. 7, 2011
Multiple lung metastases,
increasing stenosis of left main bronchus symptomatic (dyspnoe)