Análise de força e funcionalidade em paciente oncológico submetido ao criocongelamento: Relato de Caso
Main Article Content
Abstract
Diversos tipos de abordagens cirúrgicas oncológicas são descritas como opções terapêuticas eficazes para o tratamento de diversos tipos de tumores primários, favorecendo a uma melhor chance de cura do paciente. A criocirurgia, compreendendo na utilização de nitrogênio líquido para para congelar e destruir o tecido tumoral, representa o tratamento padrão de tumores ósseos por obter uma menor taxa de recorrência local. Contudo, o impacto osteomuscular resulta em alterações funcionais pois a criocirurgia pode trazer comprometimentos vasculares e danos neurais à curto e longo prazo, podendo ocorrer uma grande incapacidade funcional, decorrente, por exemplo, de encurtamentos, rigidez articular, diminuição de força, fraturas, disfunções do sistema nervoso e possíveis quadros infecciosos. Nesta premissa, o objetivo deste estudo foi de avaliar a força muscular, a pisada, a funcionalidade e a qualidade de vida em um paciente submetido a cirurgia por criocongelamento para tumores ósseos malignos de fêmur distal e tíbia proximal.
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018 Nov;68(6):394-424.
Ministério da Saúde. Instituto Nacional do Câncer José Alencar Gomes da Silva. Estimativa 2020 – Incidência de Câncer no Brasil. Acesso em: https://www.inca.gov.br/sites/ufu.sti.inca.local/files/media/document/estimativa-2020-incidencia-de-cancer-no-brasil.pdf).
Simpson E, Brown HL. Understanding osteosarcomas. JAAPA. 2018 Aug;31(8):15-19. doi: 10.1097/01.JAA.0000541477.24116.8d.
Haddox CL, Han G, Anijar L, Binitie O, Letson GD, Bui MM, Reed DR. Osteosarcoma in pediatric patients and young adults: a single institution retrospective review of presentation, therapy, and outcome. Sarcoma. 2014;2014:402509.
Misaghi A, Goldin A, Awad M, Kulidjian AA. Osteosarcoma: a comprehensive review. SICOT J. 2018;4:12. doi: 10.1051/sicotj/2017028.
Meller I, Weinbroum A, Bickels J, Dadia S, Nirkin A, Merimsky O, Issakov J, Flusser G, Marouani N, Cohen N, Kollender Y. Fifteen years of bone tumor cryosurgery: a single-center experience of 440 procedures and long-term follow-up. Eur J Surg Oncol. 2008 Aug;34(8):921-927.
Ramming KP. Cryosurgery: the coming of the surgical ice age? J Surg Oncol 1995;58(3):147-8. doi: 10.1002/jso.2930580302.
Erinjeri JP, Clark TW. Cryoablation: mechanism of action and devices. J Vasc Interv Radiol 2010;21(8 Suppl):S187-91. doi: 10.1016/j.jvir.2009.12.403.
Usatoff V, Habib NA. Update of laser-induced thermotherapy for liver tumors. Hepatogastroenterology 2001;48(38):330-2.
van der Geest IC, van Noort MP, Schreuder HW, Pruszczynski M, de Rooy JW, Veth RP. The cryosurgical treatment of chondroblastoma of bone: long-term oncologic and functional results. J Surg Oncol 2007;96(3):230-4. doi: 10.1002/jso.20804.
Ogura K, Uehara K, Akiyama T, et al. Development of a patient-oriented disease specific outcome measure of health-related quality of life (HRQOL) for musculoskeletal oncology patients. J Orthop Sci 2019;24(3):539-547. doi: 10.1016/j.jos.2018.10.020.
Pritsch T, Bickels J, Wu CC, Squires HM, Malawer MM. The risk for fractures after curettage and cryosurgery around the knee. Clin Orthop Relat Res 2007;458:159-67. doi: 10.1097/BLO.0b013e318038fc3d.
Aversa Z, Costelli P, Muscaritoli M. Cancer-induced muscle wasting: latest findings in prevention and treatment. Ther Adv Med Oncol 2017;9(5):369-382. doi: 10.1177/1758834017698643.
Higuchi T, Yamamoto N, Nishida H, et al. Knee joint preservation surgery in osteosarcoma using tumour-bearing bone treated with liquid nitrogen. Int Orthop 2017;41(10):2189-2197. doi: 10.1007/s00264-017-3499-x.
Rowe PJ, Myles CM, Walker C, Nutton R. Knee joint kinematics in gait and other functional activities measured using flexible electrogoniometry: how much knee motion is sufficient for normal daily life? Gait Posture 2000;12(2):143-55. doi: 10.1016/s0966-6362(00)00060-6.
Schmitt AC, Repka CP, Heise GD, Challis JH, Smith JD. Comparison of posture and balance in cancer survivors and age-matched controls. Clin Biomech (Bristol, Avon) 2017;50:1-6. doi: 10.1016/j.clinbiomech.2017.09.010.
da Silva Alves R, Iunes DH, Pereira IC, Borges JBC, Prado Mariano KO, Carvalho LC. Correlation Between the Trajectory of the Center of Pressure and Thermography of Cancer Patients Undergoing Chemotherapy. J Chiropr Med 2019;18(3):180-187. doi: 10.1016/j.jcm.2019.09.002.
Matsusaka RSHF. New Developments for Limb Salvage in Musculoskeletal Tumors: Springer, 1989.
Calman KC. Quality of life in cancer patients--an hypothesis. J Med Ethics 1984;10(3):124-7.
Huang J, Bi W, Han G, Jia J, Xu M, Wang W. The multidisciplinary treatment of osteosarcoma of the proximal tibia: a retrospective study. BMC Musculoskelet Disord 2018;19(1):315. doi: 10.1186/s12891-018-2245-x.
Nayak MG, George A, Vidyasagar MS, et al. Quality of Life among Cancer Patients. Indian J Palliat Care 2017;23(4):445-450.