Report from Surgeon

Today, we did not receive favourable results from the Surgeon. Nonetheless, we want to thank GOD for shrinking the tumour from the size of the apple to size of a cherry and keeping us.

Surgeon propose 2 options and leave it to us to decide:

(1) amputation from below the knee :
      [work based on worst MRI result but safest]

He explained that even though the tumour has shrunk, the area it previously
covered may have already been ''contaminated" and no one can rule out
the existence of possible cancer cells there. Unfortunately, there is no
sure way to determine their existence(apparently, ewing sacroma works
differently from leukemia cancer cells which may be determined via blood test
etc) thus they may not show up in MRI and CT scans.

Thus, amputation is the safest way to prevent a relapse from the leg.



(2) Surgical removal of tumour (with a maximised safe margin) and fibula.
      [work based on latest MRI result]

No reconstruction needed for fibula but some blood vessels, muscles
and the peroneal nerve is still affected. Potentially, surgeon can graft his
blood vessels but there is no way he can graft the nerve.

With the loss of the nerve, Sam will lose his sensation of the top calf and
top part of foot and be unable to move his foot up and down.
 Also, he may have to wear a splint to hold his foot up as he walks.

Although there is no impact on the growth of the bones in his right leg,
in the long run, he will have ''big and small" legs. Potentially, may risk a
relapse here too.



We are tentatively scheduled for surgery on 5 Dec afternoon. Surgeon will not be in
town after this. He has given us another appointment next wed expecting
a decision by then.


Sam is a bit shaken when the surgeon mentioned about recent death of a
acquaintence and a currently dying case on relapse. He prefer to go for 1st option. 


We intend to seek 2nd opinion. Please pray for GOD to guard our
hearts and grant us his favour to direct us to choose HIS best for Samuel.
We really need to discern HIS choice in this matter.


We appreciate and understand the love and concern for Samuel and our family,
and hence the desire to have the latest update in his condition.
However, this is the most critical period for our family and we may need the
space and time to decide on the best option for Samuel. Thus, appreciate that
you may obtain the latest information from this blog and refrain from calling
us. Thank you for your love and concern for us!