Dhanoa, A.; Singh, V.A.; Shanmugam, R.; 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
Abstract
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.
| Item Type: | Article |
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| Creators: | - Dhanoa, A.
- Singh, V.A.(Department of Orthopaedic Surgery, Faculty of Medicine Building, University of Malaya, 50603 Kuala Lumpur, MALAYSIA)
- Shanmugam, R.
- Rajendram, R.
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| Journal or Publication Title: | World Journal of Surgical Oncology |
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| Additional Information: | Dhanoa, Amreeta Singh, Vivek A. Shanmugam, Rukmanikanthan Rajendram, Raja ---> Department of Orthopaedic Surgery, Faculty of Medicine Building, University of Malaya, 50603 Kuala Lumpur, MALAYSIA |
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| Uncontrolled Keywords: | Orthopaedic Surgery |
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| Subjects: | R Medicine |
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| Divisions: | Faculty of Medicine |
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| Depositing User: | Ms Haslinda Lahuddin |
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| Date Deposited: | 01 Aug 2012 15:31 |
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| Last Modified: | 01 Aug 2012 15:31 |
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| URI: | http://eprints.um.edu.my/id/eprint/3593 |
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