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

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, DOI

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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.

Item Type: Article
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 07:31
Last Modified: 01 Aug 2012 07:31

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