This was shared with us by the current Chief of Surgery here at Tansen Hospital. He is a Vellore trained Nepali Orthopedic Surgeon, and he and his team are doing a great job here at the hospital. This is such an amazing story, we wanted to share it. NOTE: This is much more medical and has some graphic images so read as you wish – this was not written by non medical Debbie, but we thought some might be interested in something more clinical.
Ashish is an eight year old boy who presented with a large bony tumor in the right scapular region. His parents noticed the swelling in early childhood. He presented late because he was wrongly informed by a local doctor that he would not be operated on by any doctors till he was 8 years of age. The movement of the right upper limb and neck was limited because of the swelling. The swelling was painless and there was no history to suggest malignant transformation, such as pain, sudden increase in size, loss of appetite or weight. Neurology was normal in the right upper limb, but the radial pulse was feeble on that side. There were bony swellings in all the four limbs. His father and his grandfather also suffered from a similar illness. Xrays and CT scans revealed a bony tumor arising from the right scapula, measuring 20cm X 15cm. It was pressing on the right chest wall deforming it. Diagnosis: Hereditary Multiple exostosis.