Dr Goh Orthopaedics

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Dr Goh Orthopaedics

Consultant Orthopaedic and Musculoskeletal Oncology Surgeon

12/08/2024

🔬 Case Study Highlight: The Importance of Timely and Accurate Diagnosis

📅 Recently, we encountered a patient with persistent calf pain and swelling. Initial clinical suspicion pointed towards a soft tissue sarcoma due to the aggressive nature of the swelling. This case reminds us of the critical importance of treating such symptoms seriously and promptly.

🔍 After a thorough evaluation and biopsy, the final histopathological diagnosis revealed that the patient had chronic fibrinous bursitis, not a soft tissue tumor. Chronic fibrinous bursitis is a condition characterized by the accumulation of fibrin in the bursae, leading to significant swelling and pain.

🛑 This case underscores a vital lesson in medical diagnostics: Not all seemingly aggressive swellings are tumors. However, they must be approached with the same urgency because delayed treatment can lead to devastating consequences.

✅ Key Takeaways:

• Persistent pain and swelling should always be investigated thoroughly.
• Early diagnosis and treatment are crucial, even if the initial suspicion suggests a severe condition.
• Accurate histopathological examination is essential to rule out malignancies.

👩‍⚕️🧑‍⚕️ If you or someone you know experiences unexplained swelling or pain, seek medical advice promptly. Early intervention can make a significant difference in outcomes.

15/06/2024

🌟 Honored and Excited to Share on Batam TV! 🌟

Yesterday, I had the privilege of discussing a crucial and often overlooked topic, “Bahayanya Kanker Tulang,” on Batam TV. It was an incredible experience to delve into the dangers and intricacies of bone cancer, sharing insights and raising awareness about this rare yet impactful condition.

A heartfelt thank you to Ibu Pungky Inggoro for hosting and guiding the discussion so seamlessly. Your questions and engagement helped make the topic accessible and informative for our audience.

For those who missed it, you can catch the replay on Batam TV’s website.

Let's continue to spread awareness and educate ourselves about the dangers of bone cancer. Early detection and knowledge are key in the fight against this disease.

03/06/2024

🩺 Case Highlight: When a Lipoma Isn't Just a Lipoma 🩺

As surgeons, we sometimes encounter unexpected twists in what seem like straightforward cases. Recently, I was referred a patient with an initial diagnosis of lipoma, a benign fatty tumor. However, the routine excision revealed a surprising and alarming finding: liposarcoma, a rare malignant tumor.

This scenario, often termed "whoops surgery," underscores the vital importance of thorough pre-surgical assessments. What can we learn from this?

🔍 Essential Steps for Accurate Diagnosis:
1. MRI Scans: These provide detailed imaging, helping us to understand the true nature of the tumor.
2. Biopsy: This crucial step differentiates between benign and malignant growths, guiding the correct treatment path.

By skipping these steps, we risk incomplete diagnoses and potential complications. To ensure the best outcomes for our patients, we must remain vigilant and thorough in our approach.

Let's prioritize these diagnostic measures to avoid surprises and ensure every patient receives the best possible care.

27/05/2024

🔍 Spotlight on Two Unique Hand Surgeries: Plexiform Schwannoma vs. Giant Cell Tumour of Tendon Sheath 🔍

Today, I had the fascinating experience of treating two patients with similar hand swellings, but with completely different diagnoses and treatment journeys. Let's dive into these intriguing cases!

🦋 Case 1: The Mystery of Plexiform Schwannoma 🦋
A patient came in with a firm, sensitive lump on their finger. It seemed straightforward at first glance, but the histopathological diagnosis revealed it to be a Plexiform Schwannoma. This rare, benign tumor arises from the nerve sheath and demands precision during removal to ensure complete excision and to minimize the risk of recurrence.

🔬 Case 2: Unveiling the Giant Cell Tumour of Tendon Sheath 🔬
Our second patient presented with a similar swelling, but with added discomfort. Post-surgery, the histopathology results pointed to a Giant Cell Tumour of the Tendon Sheath (GCTTS). Unlike the schwannoma, GCTTS can be more aggressive locally and has a higher risk of recurrence if not entirely removed. This condition often affects the fingers, making the surgical approach crucial.

🌟 What We Learned:
While these two cases appeared clinically identical, their distinct histopathological diagnoses underscored the diversity of hand tumors. Each required a personalized surgical strategy to ensure the best outcome. This experience reinforces the importance of precise diagnosis and tailored treatment in orthopaedic oncology.

Thank you to my amazing team for their support and to our patients for their trust. Every case is a learning opportunity that helps us improve and deliver the best care possible.

20/05/2024

Honoured to kick off the evening with my talk on "Clinical Presentation & Overview of Limb Sarcomas" at the Malaysian Medical Association's event on Saturday, 25/05/2024. Excited to share insights and advancements in sarcoma treatment with esteemed colleagues. Let’s drive forward the future of multi-disciplinary sarcoma care together!

18/05/2024

I had the honor of delivering a talk on the "Overview of Bone and Soft Tissue Sarcomas" at the recent MMA Johor Monthly Joint Clinical Meeting organised by KPJ Bandar Dato' Onn. It was a privilege to share insights and advancements in the diagnosis and management of these complex conditions with esteemed colleagues.

During the session, I also presented a challenging case of a patient with a very large soft tissue sarcoma of the thigh. The tumor was successfully resected, demonstrating the importance of a multi-disciplinary approach and meticulous surgical technique in managing such cases.

Grateful for the opportunity to contribute to the ongoing education and collaboration within our medical community. Together, we continue to advance the field of orthopaedic oncology and improve patient outcomes.

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Opening Hours

Monday	08:30 - 17:00
Tuesday	08:30 - 17:00
Wednesday	08:30 - 17:00
Thursday	08:30 - 17:00
Friday	08:30 - 17:00
Saturday	08:30 - 12:30

Telephone

+60182908029

Website

https://drgohkl.com/ortho/

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