Surgeons at Apollo Hospitals, Asia’s largest most trusted multi-specialty chain of hospitals performed a rare surgery removing a cricket ball sized Desmoplastic Fibroma tumor from a 19 year old male patient’s ankle from Bangladesh. Instead of amputating the leg, the team comprising orthopedic, vascular and plastic surgeons saved the limb.
Desmoplastic fibroma is a rarewell-differentiated fibrous benign bone tumor which is locally aggressive but has potential for growth. The jawbone and the ankle is the most frequent site of this tumour’s occurrence. It causes bone destruction with a tendency to invade the soft-tissues if left untreated. It has a high tendency for local recurrence if treated inadequately.
Rifat Iqbal, 19yrs from Bangladesh was brought to Apollo Hospitals Chennai with an unbearable swelling in his left leg making him immobile. Rifat Iqbal who was diagnosed with Desmoplastic fibroma tumour, earlier visited various specialized centers across the country.All the hospitals suggested to amputate the limb since the tumour was complex in size and destructing the ankle bone completely to an extent where the ankle bone was not evident in the X-ray. He approached Apollo Hospitals Chennai in 2017 for a Limb Saving procedure. A team of doctors including Dr.Kosygan, Senior Consultant Orthopedics Surgeon, Dr. Kannan Prema Senior Consultant Plastic & Regenerative Surgeon, Apollo Hospitals, and Dr.K.Shashibhushan, Senior Consultant Plastic & Microvascular Surgeon, Apollo Hospital, Dr. Ashok Parameswaran Senior Pathologist, Apollo Hospital, Chennai performed a wide resection of tumor and saved the limb.
Speaking about the procedure, Dr.Kosygan, Senior Consultant Orthopedics Surgeon, Apollo Hospitals Chennai, said “Desmoplastic fibroma is a very rare benign locally aggressive tumor with incidence of 0.06% of all primary bone tumor, out of 200 cases reported worldwide only 10 cases of distal tibia desmoplastic fibroma has been documented in literature. The 4 hour surgery was performed on 10th February 2018 to remove a cricket ball sized tumour from the patient’s leg as it had already destructed a part of the ankle bone completely. Post-surgery he was put on human recombinant parathyroid hormone injection (Bone regenerating drugs were infused to help the ankle bone regrow) and regular dressing with collagen for the wound was done.We tried and successfully saved his limb, the patient is now able to stand and walk with help.”
The patient is now stable with active ankle and toe movementsand is now mobilized. The patient and his familywere extremely happy with the procedure and the team of doctors who performed the surgery. The patient is back to his regular academic without any hassle.
ABOUT APOLLO HOSPITALS
It was in 1983, that Dr. Prathap C Reddy made a pioneering endeavor by launching India’s first corporate hospital – Apollo Hospitals in Chennai. Over the years Apollo Hospitals has established itself as home to the largest cardiac practice in India with over 160,000 cardiac surgeries. Apollo Hospitals is also the world’s largest private cancer care provider and runs the world’s leading solid organ transplant program.
As Asia’s largest and most trusted healthcare group, its presence includes 9,215 beds across 64 Hospitals, 2,500 Pharmacies, over 90 Primary Care and Diagnostic Clinics, 110 plus Telemedicine Centres and 80 plus Apollo Munich Insurance branches spanning the length and breadth of the Country.
As an integrated healthcare service provider with Health Insurance services, Global Projects Consultancy capability, over 15 medical education centres and a Research Foundation with a focus on global Clinical Trials, epidemiological studies, stem cell & genetic research Apollo Hospitals has been at the forefront of new medical breakthroughs with the most recent investment being that of commissioning the first Proton Therapy Center across Asia, Africa and Australia in Chennai, India. Every four days, the Apollo Hospitals Group touches a million lives, in its mission to bring healthcare of International standards within the reach of every individual.In a rare honour, the Government of India issued a commemorative stamp in recognition of Apollo’s contribution, the first for a healthcare organization. Apollo Hospitals Chairman, Dr. Prathap C. Reddy, was conferred with the prestigious Padma Vibhushan in 2010. For more than 30 years, the Apollo Hospitals Group has continuously excelled and maintained leadership in medical innovation, world-class clinical services and cutting-edge technology. Our hospitals are consistently ranked amongst the best hospitals globally for advanced medical services and research.