Bambang Budiatmoko
Cipto Mangunkusumo Hospital/Faculty of Medicine University of Indonesia

Published : 4 Documents
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Epiphyseal Preservation Surgery in Distal Femur Osteosarcoma Kamal, Achmad Fauzi; Prabowo, Yogi; Hutagalung, Errol U; Budiatmoko, Bambang; Gumay, Saukani; Muthalib, Abdul
Journal of the Indonesian Medical Association Vol. 59 No. 3 March 2009
Publisher : Journal of the Indonesian Medical Association

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Abstract

Conventional osteosarcoma is a primary intramedullar high grade malignant tumour in which the neoplastic cells produce osteoid Early diagnostic and accurate preoperative assessment of the extent of the tumor is crucial when a limb salvage procedure is being considered. More recent studies described the accuracy of magnetic resonance imaging for evaluation epiphyseal extension of osteosarcoma. With development of modern chemotherapy regimens, limb salvage procedure was developed. Most of surgical technique presently used to treat high grade metaphyseal osteosarcoma include resection of one or both epiphysis. If an osteoarticular allograft is used to reconstruct the joint, the epiphysis of the affected bone is lost, potentially creating anatomical mismatching or joint instability. Preservation of the epiphysis technique was potentially to maintain a nearly normal joint for several decades. The aim of this case is to report a case of a female, 12 years old, with osteosarcoma of distal femur to whom a Limb Salvage Surgery with Epiphseal Preservation technique was performed. After two years of follow up, no evidence of any metastasis was detected but the graft was fracture due to excessive load. Preservation of the epiphysis in distal femur osteosarcoma is an alternative surgery for tumor that does not extend to epiphysis. Extracorporeally irradiated autograft is a methode that can be used for reconstruction of distal femur osteosarcoma.Keywords: osteosarcoma, epiphyseal preservation, extracorporeally irradiated autograft
Ewing sarcoma of the left big toe with trans-articular skip lesion Kamal, Ahmad F.; Nagieb, Muhammad; Hutagalung, Errol U.; Budiatmoko, Bambang; Gumay, Saukani; Muthalib, Abdul
Medical Journal of Indonesia Vol 18, No 2 (2009): April-June
Publisher : Faculty of Medicine Universitas Indonesia

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Abstract

We report the case of the patient who had Ewing Sarcoma in whom radiological and hystopathological appearances revealed a tumor mass in the left big toe along with trans-artikular skip lesion on the left diaphysis of tibia. In Cipto Mangunkusomo Hospital since 1995 until 2004 we have found 20 Ewing sarcoma cases, but only one skip lesion Ewing sarcoma was found. The diagnosis of transarticular skip lesion in association of Ewing sarcoma was confirmed in clinicopathological conferrence. The initial evaluation of all patients included the recording of the medical history, physical examination, and hematological studies. Radiographs of the chest and the site of the primary tumor were made routinely. Systemic staging was performed with use of total-body bone scan. Ray amputation of left big toe and open biopsy from mass of mid-shaft of tibia had been done to confirm the diagnosis. The patient underwent induction chemotherapy and above knee amputation. Ten months after diagnosis, he died because of advanced-distant metastasis. (Med J Indones 2008; 18: 139-44)Key words: Ewing sarcoma, trans-articular skip lesion
Periosteal osteosarcoma: A case report Hutagalung, Errol U.; Librianto, Didik; Gumay, Saukani; Muthalib, Abdul; Budiatmoko, Bambang
Medical Journal of Indonesia Vol 12, No 3 (2003): July-September
Publisher : Faculty of Medicine Universitas Indonesia

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Abstract

Periosteal osteosarcoma is a rare type of malignant bone neoplasm, with predominantly cartilaginous component and arising on the bone surface. Reports of the case in the literature were rare. Last case was reported by Mayo Clinic in 1999. We report a case of periosteal osteosarcoma in a 17-year-old male, who was treated surgically with a limb salvage procedure, neoadjuvant and adjuvant chemotherapy were also given to the patient. There was no local recurrence and lung metastases up to 14 months after surgery. (Med J Indones 2003; 12: 166-70) Keywords: osteosarcoma, periosteal osteosarcoma, limb salvage
Primary malignant mesenchymoma of bone Hutagalung, Errol U.; Gumay, Saukani; Budiatmoko, Bambang; Anggawidjaja, Suga
Medical Journal of Indonesia Vol 10, No 4 (2001): October-December
Publisher : Faculty of Medicine Universitas Indonesia

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Abstract

Pimary malignant mesenchymoma of bone (PMMB) is an exceedingly rare neoplasm consisting of two or more unrelated malignant mesenchymal components other than fibrosarcoma or malignant fibrous histiocytoma. Review of the literature reports only 16 cases, most of which were composed of osteosarcoma and liposarcoma. We report a case af PMMB composed of liposarcoma,rhabdomyosarcoma and high grade chondrosarcoma arising within the left distal femur in a 52-year-old male, resulting in the patients death 3 months after presentation. (Med J Indones 2001;10: 235-41)Keywords: Bone tumor-malignancy, liposarcoma, dedifferentiated chondrosarcoma, rhabdomyosarcoma