Major surgery in an osteosarcoma patient refusing blood transfusion: case report

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

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    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
    Creators:
    1. Dhanoa, A.
    2. Singh, V.A.(Department of Orthopaedic Surgery, Faculty of Medicine Building, University of Malaya, 50603 Kuala Lumpur, MALAYSIA)
    3. Shanmugam, R.
    4. Rajendram, R.
    Journal or Publication Title: World Journal of Surgical Oncology
    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
    Uncontrolled Keywords: Orthopaedic Surgery
    Subjects: R Medicine
    Divisions: Faculty of Medicine
    Depositing User: Ms Haslinda Lahuddin
    Date Deposited: 01 Aug 2012 15:31
    Last Modified: 01 Aug 2012 15:31
    URI: http://eprints.um.edu.my/id/eprint/3593

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