To the question of operability in oncological surgery of the musculoskeletal system

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Abstract

Non-operability is defined as patient's condition in which total disturbances or peculiarities of local pathologic process exclude the possibility of surgical intervention. Authors give attention to some subjective factors which the stipulate the refuse from indicated operation. They include the level of clinical mentality and skills of a surgeon who considers the patient as non-operable one, surgeon’s «radicalism» and his ability to run a risk taking into account the rule: danger of surgical intervention must not exceed the danger for patient’s life, as well as the peculiarities of the type and spirit of the hospital where the patient was considered to be the non-operable one. Six cases were given as example. All patients had been considered as non-operable patients before their admission to Clinical Hospital # 62. According to pathologic process radical surgical intervention was compulsory in all cases. The patients were successfully operated on.

About the authors

A. N. Mahson

Moscow City Clinical Oncology Hospital No. 62

Author for correspondence.
Email: info@eco-vector.com
Russian Federation, Moscow

A. Z. Khoteev

Moscow City Clinical Oncology Hospital No. 62

Email: info@eco-vector.com
Russian Federation, Moscow

M. Y. Shupak

Moscow City Clinical Oncology Hospital No. 62

Email: info@eco-vector.com
Russian Federation, Moscow

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2. Fig. 1. Radiographs of the patient S. Chondrosarcoma of the ilium body. a - before surgery; b - after the operation.

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3. Fig. 2. X-ray (a) and computed tomography (b) of patient M. Recurrence of coccyx chordoma.

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4. Fig. 3. X-ray of the patient A. Chondrosarcoma of the thigh.

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5. Fig. 4. X-ray (a), computed tomography (b) and angiography (c) of a patient with P. Chondrosarcoma of the pelvis.

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6. Fig. 5. Computed tomogram of patient D. Hip liposarcoma.

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7. Fig. 6. Radiographs of patient B. Metastatic lesion of the proximal femur with a pathological fracture. a - before surgery; b - after the operation.

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