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Surgical group is like a football team.

 
Most of the site will reflect the ongoing surgical activity of Prof. Munir Elias MD., PhD. with brief slides and weekly activity. For reference to the academic and theoretical part, you are welcome to visit  neurosurgery.tv

 

 

19-NOVEMBER-2006  JAMEELA MUSTAFA AL-AYEDY  58 YEARS  EXOPHYTIC MALIGNANT LIPOFIBROMA  LUMBO-SACRAL REGION.

The patient came to the clinic 01-November-2006  complaining of growing mass in the left lumbo-sacral area for 3 years  with ulceration of the mass in the last months.

Neurologic and systemic examination was uneventful, except for gout and arterial hypertension. The patient was sent for investigations to rule out mts. Abdomino-pelvic CT-scan and MRI of the lumbar spine ruled out presence of metastases and involvement of the subcutaneous layer under the mass, which measured 20x20 cm in dimension. High index of malignant nature of the mass was considered and the mass with safety margin was resected in toto, trying not to contaminate the wound with ulcerative part of the mass. The dissection was carried out to the sheath, which was anatomically normal. Routine closure of the wound.

Comments:

1. Progression of the mass and ulceration and characteristic for malignant nature of the mass and complete removal with safety margin is the only choice for cure. The preliminary diagnosis is exophytic malignant lipofibroma.

 

 


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[2006] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved