PT  - JOURNAL ARTICLE
AU  - Gaston, Czar Louie Lopez
AU  - Pag-ong, Johann Proceso
AU  - Dacanay, Emilleo
AU  - Quintos, Albert Jerome
TI  - Radical change in osteosarcoma surgical plan due to COVID-19 pandemic
AID  - 10.1136/bcr-2020-237197
DP  - 2020 Jul 01
TA  - BMJ Case Reports
PG  - e237197
VI  - 13
IP  - 7
4099  - http://casereports.bmj.com/content/13/7/e237197.short
4100  - http://casereports.bmj.com/content/13/7/e237197.full
SO  - BMJ Case Reports2020 Jul 01; 13
AB  - A 17-year-old man with osteosarcoma of the proximal humerus was planned for possible limb salvage surgery after standard neoadjuvant chemotherapy. However, during the surgical phase of treatment, the COVID-19 or SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) outbreak occurred changing the healthcare landscape due to uncertainty regarding the virus, risk of COVID-19 infection and complications, and implementation of an enhanced community quarantine restricting movement of people within cities. Instead of limb salvage surgery, the patient underwent a forequarter amputation. Exposure to the virus in a high-risk hospital setting was minimised with patient discharge after a short hospital stay and home convalescence monitored by video conferencing. Multidisciplinary sarcoma team meetings with family members and a sarcoma navigator nurse were crucial in managing expectations and deciding on appropriate treatment in the setting of a novel infectious disease causing a pandemic.