Case report osteosarcoma of humerus

• Main Author: Perpustakaan UGM, i-lib
• Format: Article NonPeerReviewed
• Published: [Yogyakarta] : Universitas Gadjah Mada 2001
• Subjects: Jurnal i-lib UGM
• Online Access: https://repository.ugm.ac.id/22183/; http://i-lib.ugm.ac.id/jurnal/download.php?dataId=5065
• Institution: Universitas Gadjah Mada

A 40 � year � old woman suffering with weakness in her left arm was brought to the Moewardi hospital by her family. She complained of nagging pain in her left arm and had difficulty raising her arm. There was a lump with local tenderness, warmth and edema around the left proksimal humerus. She had monoparesis. Lymphatic spread : axillary lymph nodes were negative. Laboratory investigation including RBC, Hb, WBC, Electrolyte, LFT, BUN, Creatine were normal. Alkaline phosphatase was high. An x � ray of the left humerus (1) showed that the upper and lower humerus was separated by a tumor. The second x-ray (2) showed increased damage by a sunray type of tumor, Codman's triangle. Chest x-ray showed pleural metastatic. Biopsy: cultures were negative, but afterfurther examination (histopathological study) it was revealed that the tumor was classified as high grade osteosarcoma., (TiNoMiclinical). The patient's general health was not good and surgery was delayed. Chemotherapy (doxorubicin) and radiation therapy were used in combination. The patient died one month later. Key words : monoparesis � pain � edema � X-rays � biopsy� osteosarcoma � radiation, chemotherapy