Is now restricted for neglected tumors with huge soft tissue extension and neurovascular infiltration, bad response for chemotherapy with un-healing of a pathological fracture, uncontrolled infection after biopsy or over the tumor due to skin sloughing and lastly tumor recurrence after resection and reconstruction.
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Advanced Osteosarcoma of the distal femur with soft tissue extension (extracompartmental) which means that the patient is not candidate for limb salvage |
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MRI showing the massive soft tissue extension of the tumor tissue with extension in the popliteal fossa
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