232775074_case_study_of_osteosarcoma.docx

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INTRODUCTION

Osteosarcoma is the most common type of bone cancer, and the sixth most common type of

cancer in children. Age at diagnosis is around 15. Boys are more likely to have osteosarcoma than girls,

and most cases of osteosarcoma involve the knee. Although other types of cancer can eventually spread

to parts of the skeleton, osteosarcoma is one of the few that actually begin in bones and sometimes

spread (or metastasize) elsewhere, usually to the lungs or other bones.

The said disease is usually develops from osteoblasts (the cells that make growing bone), it most

commonly affects teens who are experiencing a growth spurt. Most osteosarcomas arise from random

and unpredictable errors in the DNA of growing bone cells during times of intense bone growth. There

currently isn't an effective way to prevent this type of cancer. But with the proper diagnosis and

treatment, most kids with osteosarcoma do recover. (Childhood Cancer: Osteosarcoma. (n.d.). Retrieved

from http://kidshealth.org)

In the United States, the incidence of osteosarcoma is 400 cases per year. The number of cases in

osteosarcoma is slightly higher in males than in females. In males, it is 5.2 per million per year. In

females, the incidence is 4.5 million per year. Osteosarcoma is very rare in young children. However,

the incidence increases steadily with age, increasing more dramatically in adolescence, corresponding

with the adolescent growth spurt. While in the Philippines, each year, about 3,500 new cases of

osteosarcoma have been recorded. (American Cancer Society (2013). Osteosarcoma. Retrieved from

http://cancer.net)

During our duty at Philippine Orthopedic Center, we decided to choose the case of Patient A.D,

14 years old, who was admitted on January 28, 2014 with a chief complaint of mass on the right leg, he

was initially diagnosed with Osteosarcoma Proximal 3rd Tibia Right to consider Primary Malignant

Bone Tumor.

The patient’s final diagnosis was Osteosarcoma Proximal Tibia status post amputation at the

above right knee and Pulmonary Metastasis. This case study is suitable to the assigned topic given to our

group; Alteration in perception and coordination. As nursing students, we chose this case because we

want to acquire knowledge and understanding of the development and the other complications that may

arise with the disease. Also this case will help us to know the proper nursing interventions and how the

disease will be cured, or to alleviate the symptoms induced by the patient’s condition. This serves as a

chance for us to provide information and assess him and his significant others to understand the disease

process.

Page 2 of 67

OBJECTIVES

General Objectives:

 During the course of the study, the patient and the significant others shall have: acquired

knowledge on the risk factors that have contributed to the development of Osteosarcoma; gain

understanding and demonstrate compliance pertaining to the treatment and management

rendered by the health care team to present reoccurrence of the disease.

Specific Objectives:

The researchers will be able to:

 To build a trusting and cooperative relationship with the nurse researchers as well as with the

other members of the health care team.

 To gain knowledge on the definition of Ostreosarcoma, its development, risk factors, medical

and nursing management.

The patient will be able to:

 To receive the best possible medical and nursing care, leading to a feeling of security, comfort

and good progression of the disease condition.

 To demonstrate compliance to the treatment and management.

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INTRODUCTION Osteosarcoma is the most common type of bone cancer, and the sixth most common type of cancer in children. Age at diagnosis is around 15. Boys are more likely to have osteosarcoma than girls, and most cases of osteosarcoma involve the knee. Although other types of cancer can eventually spread to parts of the skeleton, osteosarcoma is one of the few that actually begin in bones and sometimes spread (or metastasize) elsewhere, usually to the lungs or other bones. The said disease is usually develops from osteoblasts (the cells that make growing bone), it most commonly affects teens who are experiencing a growth spurt. Most osteosarcomas arise from random and unpredictable errors in the DNA of growing bone cells during times of intense bone growth. There currently isn't an effective way to prevent this type of cancer. But with the proper diagnosis and treatment, most kids with osteosarcoma do recover. (Childhood Cancer: Osteosarcoma. (n.d.). Retrieved from http://kidshealth.org) In the United States, the incidence of osteosarcoma is 400 cases per year. The number of cases in osteosarcoma is slightly higher in males than in females. In males, it is 5.2 per million per year. In females, the incidence is 4.5 million per year. Osteosarcoma is very rare in young children. However, the incidence increases steadily with age, increasing more dramatically in adolescence, corresponding with the adolescent growth spurt. While in the Philippines, each year, about 3,500 n ...
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