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CASE REPORT
Year : 2020  |  Volume : 3  |  Issue : 1  |  Page : 39-43

Extracorporeal bone irradiation and reimplantation: Case report and cost–benefit evaluation


1 Department of Radiation Oncology, Yashoda Super Speciality Hospital, Hyderabad, Telangana, India
2 Department of Surgical Oncology, Yashoda Super Speciality Hospital, Hyderabad, Telangana, India
3 Department of Orthopedics, Yashoda Super Speciality Hospital, Hyderabad, Telangana, India

Correspondence Address:
Dr. Ashutosh Mukherji
Department of Radiation Oncology, Yashoda Super Speciality Hospital, Somajiguda, Hyderabad, Telangana,
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jco.jco_24_19

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Extracorporeal irradiation and reimplantation in bone tumors is the technique of surgical removal of the tumor-bearing segment of a bone, removing the tumor, and irradiating that segment of bone separated from the body to a very high dose, and then reimplanting it in its original location. This case report describes a 6-year-old boy with Ewing’s sarcoma post chemotherapy with tumor localized to left upper shaft femur, which was excised and which underwent extracorporeal irradiation. The authors have compared this technique to metallic implants with regard to cost and benefit to patient. The rates of graft failure and implant failure remain similar at 25%–30% at 2–5 years, although the graft does not have any host rejection issues as would the implant. Also, bigger series’ have shown a similar survival rate between the two techniques as well as better functional preservation compared to implants.


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