Paeds Cases · haematology-oncology-and-transfusion
Counsel an adolescent and family on a new diagnosis of osteosarcoma — OSCE
OSCE communication and shared decision-making station: explaining a new diagnosis of a distal femoral osteosarcoma to a fourteen-year-old boy and his parents, addressing the diagnosis and the radiograph, the biopsy and the staging, the neoadjuvant chemotherapy and the limb-salvage surgery, the fertility implications, the prognosis, and the survivorship in plain language.
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You have eight minutes to counsel a fourteen-year-old boy and his parents following a new diagnosis of a high-grade osteosarcoma of the distal femur, confirmed by magnetic resonance imaging after three months of night pain and a palpable mass. Use a structured, honest, empathic approach that names the diagnosis, explains the biopsy and staging, addresses the online fears about amputation and infertility, and builds a shared plan. [1][2]
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- [1]Isakoff MS, Bielack SS, Meltzer P, Gorlick R Osteosarcoma: Current Treatment and a Collaborative Pathway to Success. J Clin Oncol, 2015.PMID 26304877
- [2]Strauss SJ, Frezza AM, Abecassis N, Bajpai J, et al. Bone sarcomas: ESMO-EURACAN-GENTURIS-ERN PaedCan Clinical Practice Guideline for diagnosis, treatment and follow-up. Ann Oncol, 2021.PMID 34500044