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KMID : 0613319980040010065
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Journal of the Korean Bone and Joint Tumor Soceity
1998 Volume.4 No. 1 p.65 ~ p.70
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Lymph Node Metastasis of Osteosarcoma - A Case Report -
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Hwang Sung-Kwan
Park Heui-Jeon
Yoon Yeo-Seung
Rah Jung-Ho
Oh Jin-Rock
Kim Ki-Ho
Kim Dong-Jin
Yang Kyung-Moo
Cho Mee-Yon
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Abstract
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Osteosarcoma is the most common primary bone tumor except for multiple myeloma. Hematogenous spread of osteosarcoma presents the usual route of dissemination. Lung metastasis is the most common, however the lymph node involvement is quite rare. In addition, according to Mirra, radiologically detectable involvement of lymph node is an extremely rare manifestation of osteosarcoma. The authors had experienced a patient with an osteosarcoma of the right distal femur which spread to the right inguinal lymph node and lung. After preoperative chemotheraphy, a limb salvage operation was performed around the lesion of right vistal femur and the right inguinal lymph nodes were dissected. A adjuvant postoperative chemotheraphy was performed. After the treatment, there was no recurrence of osteosarcoma or any other metastatic evidence for two years and 8 months.
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KEYWORD
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Osteosarcoma, Lymph node, Metastasis
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