Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a history of progressive, deep-seated pelvic pain, often nocturnal, localized to the [Right/Left] hemipelvis. Symptoms include localized swelling, tenderness, and intermittent low-grade fevers. No history of recent trauma. Systemic symptoms include weight loss, fatigue, and decreased mobility of the affected hip joint.
Clinical Examination Findings
Physical exam reveals a palpable, firm, non-mobile mass in the [pelvic/gluteal/iliac] region. Localized warmth and erythema noted over the site. Assessment of hip range of motion shows restriction due to pain. Neurovascular status of the lower extremity is [intact/compromised]. Lymphadenopathy is [absent/present].
Treatment Protocol
Multidisciplinary management initiated. Plan includes neoadjuvant chemotherapy (VIDE/VDC-IE regimen) to achieve tumor shrinkage, followed by local control via surgical resection or definitive radiotherapy. Close monitoring of hematologic parameters and renal function required. Pain management via multimodal analgesia.