I will appreciate if anyone could send me information on the latest treatments for amelioblastoma.
The clinical history of a friend of mine is the following:
Female, 39 years old, she was operated on 10/26/84 at the
hospital for Joint Disease in New York due to an amelioblastoma
of right tibia. At that time the entire right tibia with
overlying skin and muscle was resected and the leg reconstructed
with the implantation of fibula. On her follow up her X-rays
showed a lung metastasis. For that reason she was explored on
2/12/90 through a left thoracotomy and a left superior lobectomy
and 5 resections of samll nodes from the remaining lung were
done. No pathologic lymph nodes were found. The pathologic
examination sowed metastasis of amelioblastoma. She continued
in good conditions until April 92 in which a median sternotomy
is performes to explore both lungs due to recurrence of nodes in
both sides. At least 5 nodes from 1 to 2 cms were resected and
confirmed as amelioblastoma metastasis. She was in good
conditions until March 94 in which the lung X-ray showed
another node. Her actual health condition is otherwise good.
Scan and bone scintigrams are normal.
I would like to ask the following questions:
1) Is appropiate to reoperate now?
2) According to the experiences which is the long term prognosis?
3) Is there any other way of treatment to this long lasting
Any information or help will be greatly appreciated.