The girl Maya, a student of grade .
Although she was initially small, she soon grew in size, restricting her movements such as walking, running and jumping. It gradually became painful and began to cause numbness in the limb.
Doctors subjected Maya to imaging and a core needle biopsy that revealed a soft tissue tumor completely covering her left sciatic nerve, which could be life-threatening if not treated.
The sciatic nerve is a vital nerve that emerges from the lower back (lumbar and sacral spine) and runs through the gluteus maximus muscle (hips) on both sides and then passes through the back of the thigh and leg it supplies. the muscles of the lower extremities.
"This particular nerve is critical for lower extremity functionality. Considering that the sciatic nerve ran through the entire overlying mass, the likelihood of saving this crucial nerve during surgery was dismal or negligible," said Chintamani, department president. of Surgical Oncology at the hospital.
However, it was necessary to remove the tumor completely to prevent a recurrence. Therefore, limb preservation was a challenge for the doctors, who also advised Maya extensively on limb-sparing surgery and amputation.
Chintamani and the team were able to resect the entire tumor measuring 17 x 15 cm and weighing around 2 kg, while saving the sciatic nerve.
"Since the tumor also affected a large part of the muscles in the posterior compartment of the thigh (hamstrings), we also had to remove it to ensure en bloc removal and muscles from other compartments were mobilized to cover the exposed bone (femur) and the neurovascular system. package," the doctor said.
Although after the operation she suffered some temporary weakness in the muscles of her lower extremities, she improved with physical therapy and time.
"Maya is now doing well and arrives at the hospital for her check-ups and physical therapy without any significant neurological deficits," Chintamani said.
Although she was initially small, she soon grew in size, restricting her movements such as walking, running and jumping. It gradually became painful and began to cause numbness in the limb.
Doctors subjected Maya to imaging and a core needle biopsy that revealed a soft tissue tumor completely covering her left sciatic nerve, which could be life-threatening if not treated.
The sciatic nerve is a vital nerve that emerges from the lower back (lumbar and sacral spine) and runs through the gluteus maximus muscle (hips) on both sides and then passes through the back of the thigh and leg it supplies. the muscles of the lower extremities.
"This particular nerve is critical for lower extremity functionality. Considering that the sciatic nerve ran through the entire overlying mass, the likelihood of saving this crucial nerve during surgery was dismal or negligible," said Chintamani, department president. of Surgical Oncology at the hospital.
However, it was necessary to remove the tumor completely to prevent a recurrence. Therefore, limb preservation was a challenge for the doctors, who also advised Maya extensively on limb-sparing surgery and amputation.
Chintamani and the team were able to resect the entire tumor measuring 17 x 15 cm and weighing around 2 kg, while saving the sciatic nerve.
"Since the tumor also affected a large part of the muscles in the posterior compartment of the thigh (hamstrings), we also had to remove it to ensure en bloc removal and muscles from other compartments were mobilized to cover the exposed bone (femur) and the neurovascular system. package," the doctor said.
Although after the operation she suffered some temporary weakness in the muscles of her lower extremities, she improved with physical therapy and time.
"Maya is now doing well and arrives at the hospital for her check-ups and physical therapy without any significant neurological deficits," Chintamani said.
