Radical change in osteosarcoma surgical plan due to COVID-19 pandemic.
BMJ Case Rep
; 13(7)2020 Jul 08.
Article
in English
| MEDLINE | ID: covidwho-640059
ABSTRACT
A 17-year-old man with osteosarcoma of the proximal humerus was planned for possible limb salvage surgery after standard neoadjuvant chemotherapy. However, during the surgical phase of treatment, the COVID-19 or SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) outbreak occurred changing the healthcare landscape due to uncertainty regarding the virus, risk of COVID-19 infection and complications, and implementation of an enhanced community quarantine restricting movement of people within cities. Instead of limb salvage surgery, the patient underwent a forequarter amputation. Exposure to the virus in a high-risk hospital setting was minimised with patient discharge after a short hospital stay and home convalescence monitored by video conferencing. Multidisciplinary sarcoma team meetings with family members and a sarcoma navigator nurse were crucial in managing expectations and deciding on appropriate treatment in the setting of a novel infectious disease causing a pandemic.
Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Pneumonia, Viral
/
Bone Neoplasms
/
Doxorubicin
/
Osteosarcoma
/
Cisplatin
/
Coronavirus Infections
/
Limb Salvage
/
Pandemics
/
Amputation, Surgical
/
Humerus
Type of study:
Case report
/
Observational study
/
Prognostic study
Limits:
Adolescent
/
Humans
/
Male
Language:
English
Year:
2020
Document Type:
Article
Affiliation country:
Bcr-2020-237197
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