Doctors of the Morozov Children's City Clinical Hospital of the Moscow Health Department performed a complex operation on a 12-year-old boy with Ewing's sarcoma, removing the tibia affected by the malignant tumor and installing a sliding endoprosthesis. This was reported by the press service of the Moscow Department of Health.
“Doctors of the Morozov Children's Clinical Hospital of the Moscow Health Department performed a complex operation to replace the tibia on a 12-year-old child from Sevastopol with a diagnosis of Ewing's sarcoma. The operation to remove the bone affected by the tumor and install the endoprosthesis lasted seven hours,”the report says.
It is noted that the appearance of swelling in the area of the right leg first appeared in the patient in May 2018. “The child associated this symptom, like pain when walking, with an injury received during training. The boy's parents went to the emergency room at their place of residence, after which the child was admitted to the local city hospital with suspicion of a tumor. For a more detailed examination and further treatment, the child was sent to hospitalization in the Morozov Children's City Clinical Hospital,”the press service explained.
In the oncology department of the Morozov hospital, the child underwent a full range of diagnostic tests, including laboratory diagnostics.
“To establish a diagnosis, the doctors performed a biopsy of the neoplasm of the right tibia, the result of which confirmed the presence of Ewing's sarcoma in the child. Ewing's sarcoma is a malignant tumor and is most often diagnosed during adolescence and young adulthood. Having established the diagnosis and stage of the disease, the child was immediately prescribed the necessary treatment. Thanks to several courses of chemotherapy, the doctors managed to reduce the tumor, after which it became possible to carry out the operation,”the Department of Healthcare said.
According to the head of the department of clinical oncology of the Morozov Children's Hospital, Maxim Kubirov, who is quoted by the press service, the boy tolerated chemotherapy treatment well, so the doctors decided to remove the affected part of the bone and install a sliding endoprosthesis to save his leg. “For such cases, a sliding non-invasive endoprosthesis is used in medicine, which makes it possible to further increase the length of the limb without surgery as the child grows. Endoprosthetics of long bones for malignant tumors in children in the Morozov hospital is carried out for the second time and is the "gold standard" in oncological orthopedics, "M. Kubirov explained.
As added in the Department of Health, the operation was successful, now the boy is feeling well and continues to undergo treatment. “According to the doctors' forecasts, after a period of rehabilitation, the child will be able to live a normal life, regularly being monitored by doctors at the place of residence,” the press service concluded.