Local recurrence after S2-3 sacrectomy in sacral chordoma. Report of four cases.

Abstract:

:Excision is the treatment of choice in cases of sacral chordoma. Local recurrences, however, have often been observed even after total en bloc resection. The authors assessed outcomes in four cases of tumor recurrence in patients who underwent total en bloc S2-3 resection for sacral chordomas that were located below S-3. The primary recurrences were located at either side of the lateral portion of the remaining sacrum in all patients. In two patients in whom preoperative magnetic resonance imaging indicated no invasion of the tumor into surrounding soft tissues, recurrence in the resected end of the gluteus maximus or piriformis muscle was also observed. The authors therefore recommend that the S2-3 sacrectomy should be performed over an adequate margin, including a part of sacroiliac joints at the bilateral portions of the sacrum and soft tissues such as the gluteus maximus or piriformis muscle.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Ishii K,Chiba K,Watanabe M,Yabe H,Fujimura Y,Toyama Y

doi

10.3171/spi.2002.97.1.0098

subject

Has Abstract

pub_date

2002-07-01 00:00:00

pages

98-101

issue

1 Suppl

eissn

0022-3085

issn

1933-0693

journal_volume

97

pub_type

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