Do you recommend treating the entire extent of hardware for a femoral neck plasmacytoma with pathologic fracture requiring internal fixation?

Topics: Hematologic Malignancies • Radiation Oncology

If the plasmacytoma was originally limited to the femoral neck, is it necessary to cover the entire femur out of concern for marrow space involvement?

Answer from: Radiation Oncologist at Academic Institution

Since radiotherapy is potentially curative for solitary plasmacytoma, the entire hardware should be covered. Although unusual, there is slightly increased failure when the full extent of hardware is not covered. See nice paper from MDAH on this issue: Elhammali et al., PMID 31133526. In palliat...

Comments

Radiation Oncologist at University of Florida
Yes.

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