Partial Sacrectomy for Resection of a Sacral Chordoma: 2-Dimensional Operative Video
| Autor: | Alfredo Guiroy, Martín Gagliardi, Alejandro Morales Ciancio, Alfredo Sícoli, Nicolás Gonzalez Masanés |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
Sacrum medicine.medical_specialty medicine.medical_treatment Partial sacrectomy 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Biopsy Chordoma medicine Humans Retrospective Studies Spinal Neoplasms medicine.diagnostic_test business.industry Genitourinary system Middle Aged medicine.disease Radiation therapy Treatment Outcome Surgery Sacrococcygeal Region Neurology (clinical) Radiology business 030217 neurology & neurosurgery Sacral Chordoma |
| Zdroj: | Operative Neurosurgery. 19:E412-E412 |
| ISSN: | 2332-4260 2332-4252 |
| DOI: | 10.1093/ons/opaa024 |
| Popis: | Sacral chordomas are infrequent tumors that arise from remnants of the notochord. They are most often found in the sacrum and skull-base.1,2 These lesions rarely metastasize and usually have an indolent and oligosymptomatic clinical course. Chordomas show low sensitivity to standard radiation therapy and chemotherapy. Operative resection with wide resection margins offers the best long-term prognosis, including longer survival and local control.1,3 However, achieving a complete resection with oncological margins may be difficult because of the anatomic complexity of the sacrococcygeal region.4 The main complications of sacral resection include infections, wound closure defects, and anorectal and urogenital dysfunction. The rate of these complications is significantly increased when the tumor involves the S2 level or above. We report the case of a 64-yr-old male who presented with progressive sacrococcygeal pain and a feeling of incomplete evacuation. A heterogeneous, osteolytic lesion was found at the sacrococcygeal region. Full body imaging tests were negative for other lesions. A computed tomography (CT) guided biopsy was made. We usually use the midline approach in case we have to include the needle path in the resection. The pathology confirmed a sacrococcygeal, low-grade chordoma. We decided to perform an en bloc resection. A posterior, partial sacrectomy was planned distal to the S4 level. |
| Databáze: | OpenAIRE |
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