Neglected Osteosarcoma of the Knee in a Young Female Adolescent: A Case Report.

Muhammad Bayu Zohari HUTAGALUNG, Safrizal RAHMAN, Azharuddin AZHARUDDIN

Department of Orthopaedic and Traumatology, Faculty of Medicine, Syiah Kuala University/Dr. Zainoel Abidin Hospital, JL. T Daud Beureueh No 108, Banda Aceh 23124, Indonesia

ABSTRACT

A 16-years old girl presented to the orthopaedic outpatient clinic of Dr. Zainoel Abidin Hospital, Banda Aceh, Indonesia with a progressive growing mass around the left knee since 12 months ago. Diagnostic assesment includes clinical, radiological and fine needle aspiration cytology of the mass confirmed an osteosarcoma. Patients undergo above knee amputation procedure as definitive treatment. Neglected osteosarcoma is a primary malignant bone tumor with more than 3 months delayed from the original time of signs and symptoms occurrence to first presentation for medical care. The combination of unawareness, low socio-economic level and inability to access healthcare facilities are major factors contributing to delayed presentation in this case. Management of neglected osteosarcoma in our region faced a variety of issues such as lack of funding, inadequate diagnostic facilities and limited access to advanced treatment options combined with patient’s cultural and socio-economic preferences with regards to management and treatment options.

Keywords: Amputation, Health services accessibility, Osteosarcoma, neglected, Disease management.

Corresponding author: Muhammad Bayu Zohari Hutagalung, MD, Department of Orthopaedic and Traumatology, Faculty of  Medicine, Syiah Kuala University/Dr. Zainoel Abidin Hospital, JL. T Daud Beureueh No 108, Banda Aceh 23124, Indonesia.

Tel: +6282364622502,

email: bayuzohari@gmail.com

Brunei Int Med J. 2018;14:73-76