Tumors of the pelvic bones, especially on the inner side, are the most difficult for surgeons due to difficult access to the tumor.
For a long time, 15-year-old Peter suffered from severe pain in his back, which prevented him from training, because the teenager was involved in weightlifting and dreamed of a career as an athlete. Therefore, the boy sought medical help.
“The patient was diagnosed with a tumor of the body of the iliac bone of the pelvis, which is the most massive part of the pelvic bone. It was large and compressed other organs. X-ray examination showed that the formation is benign, so we offered the patient surgical intervention: removal of the tumor followed by filling of the defect with a bone implant,” said Oleksandr Shchurovskyi, orthopedic surgeon of ZUSDMC.
The doctor also said that tumors of the pelvic bones, especially on the inner side, are the most difficult for surgeons due to the difficult access to the tumor. However, the Center’s specialists have extensive experience in the treatment of such pathologies. So this time too the intervention was successful. Petro is recovering and waiting to continue training in the hall.
Benign pathological formations in the bones of the pelvis in children and adolescents are not common. For the most part, this localization is characteristic of malignant diseases – for example, Ewing’s sarcoma or chondrosarcoma. And most often, osteochondromas of the lower limbs and humerus, and enchondromas of the phalanges of the fingers and toes are detected in young patients.
“Usually, we fill small defects with donor bone after tumor removal. When we use the patient’s own bones, we usually take them from the pelvis, because there is enough bone material there. In addition, it has a better cosmetic effect than when taking material from a rib or tibia. We also try not to use means of additional fixation in the treatment of enchondroma of the fingers of the hands or feet. Benign pathology can be diagnosed after an X-ray. Doubtful or known malignant tumors require other studies – CT scan, MRI, biopsy. Treatment of benign bone tumors is operative, most often with simultaneous filling of the defect with a bone implant. Therefore, any bone pain, even minor, is a reason to consult an orthopedist,” the doctor emphasized.