BPKMCH | ANNUAL REPORT - 2018
DEPARTMENT OF SURGICAL ONCOLOGY
ORTHOPAEDIC UNIT
Introduction
Orthopedic Oncology Unit deals with the diagnosis and treatment of benign and malignant tumors of bone
and sof t ssues (fat, muscles, blood vessels, deep skin t ssues, nerves, tendon cart lage so on) of limbs and
spine. At present this unit has been providing treatment to all types of bone and sof t ssues tumors, tumor-
like diseases and the primary bone and sof t ssues sarcomas of the limbs and spine. Limb salvage surgeries
and flap coverage of the wound which are demanding surgical techniques are ofen performed. Even the
technically demanding amputat ons around limb girdles such as internal hemipelvectomy of tumor and
preservat on of one lower limb and external hemipelvectomy removal of one limb and half of pelvis) and
forequarter (removal of arm with the scapula and part of clavicle) amputat ons are other surgeries that are
performed.
Rehabilitat on starts soon afer treatment, once a pat ent is surgically and medically stable. Inpat ent
rehabilitat on focuses on teaching pat ents how to move and funct on safely with reconstructed limbs and
cont nues on an outpat ent basis. For pat ents requiring amputat on, post-surgery prosthet c fit ng and
rehabilitat on, the services are coordinated by our office for the needy pat ents.
7)
Ewings Sarcoma: 14
Services
8)
Aneurysmal Bone Cyst: 8
Three and half days of OPD and two and a half days
of operat on days are allocated. OPD services include
9)
Synovial Sarcoma: 5
general examinat on of pat ent and minor operat ons.
10)
Chondrosarcoma: 5
11)
Ganglion cyst :3
Table 1 : Minor Operat ons
12)
Haemangioma: 6
Total of minor Operat ons: 152
13)
Epidermoid cyst: 4
14)
Enchondroma: 7
S.N.
Type
No.
15)
Lipoma: 5
1.
Wedge Biopsy
83
16)
Benign spindle cell tumor: 3
2.
Excision Biopsy
20
17)
Liposarcoma: 1
18)
Chondroma.10
3.
Incision Biopsy
14
19)
Metastasis 30
4.
I & D
12
20)
Lump 6
5.
Suturing + re-suturing
3
21)
Chronic Osteomyelit s 1
6.
Trucut Biopsy
4
22)
Peripheral Nerve Sheath tumour 3
7.
Debridement
4
23)
Corn 3
10.
Core needle Biopsy
6
24)
Mult ple exostosis 4
25)
Abscess 4
11.
Quadrant Biopsy
2
26)
Chordoma 2
12.
open Biopsy
4
27)
Myofibrosarcoma: 2
28)
Chondromatosis: 1
Number of cases those had performed
29)
PNET: 5
surgery
30)
Bcc: 2
1)
Osteosarcoma- 60
31)
Mult ple myeloma: 3
2)
Squamous cell Carcinoma- 52
32)
Metastat c lymphadenopathy:
4
3)
Sof t ssue sarcoma: 47
33)
Vericous ca :2
4)
Fibrous dysplasia - 5
34)
Implant revision:4
5)
Gaint cell Tumor of bone: 35
35)
Others :27
6)
Malignant melanoma- 17
41
