Major surgery in an osteosarcoma patient refusing blood transfusion: case report
We describe an unusual case of osteosarcoma in a Jehovah's Witness patient who underwent chemotherapy and major surgery without the need for blood transfusion. This 16-year-old girl presented with osteosarcoma of the right proximal tibia requiring proximal tibia resection, followed by endoprost...
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my.um.eprints.35932012-08-01T07:31:44Z http://eprints.um.edu.my/3593/ Major surgery in an osteosarcoma patient refusing blood transfusion: case report Dhanoa, A. Singh, V.A. Shanmugam, R. Rajendram, R. R Medicine We describe an unusual case of osteosarcoma in a Jehovah's Witness patient who underwent chemotherapy and major surgery without the need for blood transfusion. This 16-year-old girl presented with osteosarcoma of the right proximal tibia requiring proximal tibia resection, followed by endoprosthesis replacement. She was successfully treated with neoadjuvant chemotherapy and surgery with the support of haematinics, granulocyte colony-stimulating factor, recombinant erythropoietin and intraoperative normovolaemic haemodilution. This case illustrates the importance of maintaining effective, open communication and exploring acceptable therapeutic alternative in the management of these patients, whilst still respecting their beliefs. 2010 Article PeerReviewed application/pdf en http://eprints.um.edu.my/3593/1/Major_surgery_in_an_osteosarcoma_patient_refusing_blood_transfusion.pdf Dhanoa, A. and Singh, V.A. and Shanmugam, R. and Rajendram, R. (2010) Major surgery in an osteosarcoma patient refusing blood transfusion: case report. World Journal of Surgical Oncology, 8 (1). p. 96. ISSN 1477-7819 http://www.biomedcentral.com/content/pdf/1477-7819-8-96.pdf 10.1186/1477-7819-8-96 |
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We describe an unusual case of osteosarcoma in a Jehovah's Witness patient who underwent chemotherapy and major surgery without the need for blood transfusion. This 16-year-old girl presented with osteosarcoma of the right proximal tibia requiring proximal tibia resection, followed by endoprosthesis replacement. She was successfully treated with neoadjuvant chemotherapy and surgery with the support of haematinics, granulocyte colony-stimulating factor, recombinant erythropoietin and intraoperative normovolaemic haemodilution. This case illustrates the importance of maintaining effective, open communication and exploring acceptable therapeutic alternative in the management of these patients, whilst still respecting their beliefs. |
format |
Article |
author |
Dhanoa, A. Singh, V.A. Shanmugam, R. Rajendram, R. |
author_facet |
Dhanoa, A. Singh, V.A. Shanmugam, R. Rajendram, R. |
author_sort |
Dhanoa, A. |
title |
Major surgery in an osteosarcoma patient refusing blood transfusion: case report |
title_short |
Major surgery in an osteosarcoma patient refusing blood transfusion: case report |
title_full |
Major surgery in an osteosarcoma patient refusing blood transfusion: case report |
title_fullStr |
Major surgery in an osteosarcoma patient refusing blood transfusion: case report |
title_full_unstemmed |
Major surgery in an osteosarcoma patient refusing blood transfusion: case report |
title_sort |
major surgery in an osteosarcoma patient refusing blood transfusion: case report |
publishDate |
2010 |
url |
http://eprints.um.edu.my/3593/1/Major_surgery_in_an_osteosarcoma_patient_refusing_blood_transfusion.pdf http://eprints.um.edu.my/3593/ http://www.biomedcentral.com/content/pdf/1477-7819-8-96.pdf |
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