Acompanhamento do paciente tratado de osteossarcoma

Abstract

ObjectiveTo evaluate the value of post-treatment follow-up in osteosarcoma patients.MethodsData were collected through a clinical record, with socio-demographic and clinical data, and information relating to the medical appointment. Descriptive analysis of the data was carried out. The Chi-squared test was used to associate the independent variables with attendance at scheduled follow-up appointments.ResultsWe found a recurrence in 59.6% of cases, of which 58% were lung related; 44% presented clinical complaints and arrived on the scheduled date of the appointment. There was no statistically significant association between the demographic characteristics and early attendance of follow-up visits. 81.3% of the cases who came for the appointment earlier than originally scheduled presented complaints compared to those who did not (p=0.005). Of the cases who presented recurrence, 12.9% attended an appointment late and those who did not present recurrence, 47.6% were late for the appointment (p=0.006).ConclusionIt is seen that the patients who came for an earlier appointment presented more complaints and were associated with the positive result of the exams carried out. The patients who had recurrence and came for an earlier appointment did not present a statistically significant difference in recurrence-free survival. It was observed that distance was not a predominant factor in late attendance at appointments. Level of Evidence II, Retrospective Study.

Osteosarcoma condroblástico en el maxilar

“…Son neoplasmas caracterizados por la presencia de células mesenquimales que producen tejido osteoide ². Representan menos del 1% de todas las biopsias en maxilar y mandíbula. Los signos y síntomas más comunes del OS son: dolor o parestesia, crecimiento rápido, inflamación y expansión del hueso cortical, asimetría facial, obstrucción nasal, desplazamiento y movilidad de los dientes vecinos 3,4 .…”

“…Para Álvarez et al el OS condroblástico es uno de los subtipos caracterizado por una diferenciación cartilaginosa que raramente afecta la región maxilofacial 2 , en contraposición a lo señalado por Loara et al que afirma en su investigación que este subtipo histológico es la forma más común presente en maxilar y mandíbula. El dolor concuerda con una de las sintomatologías frecuentemente manifestada por los pacientes en diferentes investigaciones [1][2][3][4][5] , al igual que la dificultad respiratoria como producto de la masa tumoral que obstruye la fosa nasal 5 . Un signo observado fue la expansión y abultamiento de las corticales que de acuerdo a los investigadores se presenta con regularidad 2,4 .…”