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10.1136/bcr-2020-237197

http://scihub22266oqcxt.onion/10.1136/bcr-2020-237197
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32641312!7348652!32641312
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suck abstract from ncbi


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pmid32641312      BMJ+Case+Rep 2020 ; 13 (7): ä
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  • Radical change in osteosarcoma surgical plan due to COVID-19 pandemic #MMPMID32641312
  • Gaston CLL; Pag-Ong JP; Dacanay E; Quintos AJ
  • BMJ Case Rep 2020[Jul]; 13 (7): ä PMID32641312show ga
  • A 17-year-old man with osteosarcoma of the proximal humerus was planned for possible limb salvage surgery after standard neoadjuvant chemotherapy. However, during the surgical phase of treatment, the COVID-19 or SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) outbreak occurred changing the healthcare landscape due to uncertainty regarding the virus, risk of COVID-19 infection and complications, and implementation of an enhanced community quarantine restricting movement of people within cities. Instead of limb salvage surgery, the patient underwent a forequarter amputation. Exposure to the virus in a high-risk hospital setting was minimised with patient discharge after a short hospital stay and home convalescence monitored by video conferencing. Multidisciplinary sarcoma team meetings with family members and a sarcoma navigator nurse were crucial in managing expectations and deciding on appropriate treatment in the setting of a novel infectious disease causing a pandemic.
  • |*Bone Neoplasms/pathology/therapy[MESH]
  • |*Coronavirus Infections/epidemiology/prevention & control[MESH]
  • |*Humerus/diagnostic imaging/surgery[MESH]
  • |*Osteosarcoma/pathology/therapy[MESH]
  • |*Pandemics/prevention & control[MESH]
  • |*Pneumonia, Viral/epidemiology/prevention & control[MESH]
  • |Adolescent[MESH]
  • |Amputation, Surgical/*methods[MESH]
  • |Antineoplastic Agents[MESH]
  • |Betacoronavirus[MESH]
  • |COVID-19[MESH]
  • |Cisplatin/*administration & dosage[MESH]
  • |Doxorubicin/*administration & dosage[MESH]
  • |Humans[MESH]
  • |Limb Salvage/*methods[MESH]
  • |Magnetic Resonance Imaging/methods[MESH]
  • |Male[MESH]
  • |Neoplasm Staging[MESH]
  • |Patient Selection[MESH]


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