Current management of sacral chordoma.

Abstract:

:Sacral chordomas are relatively rare, locally invasive, malignant neoplasms. Although metastasis is infrequent at presentation, the prognosis for patients with chordoma of the sacrum is reported to be poor and attributable in most cases to intralesional resection. The value of adjuvant treatment is uncertain, and resection remains the primary mode of treatment. Chordomas are difficult to excise completely, but recent improvements in imaging and surgical techniques have allowed surgeons to perform more frequently en bloc sacral resections with wide surgical margins. The technical challenges of such operations, and the functional costs for the patient (with respect to anorectal and urogenital dysfunction) are significantly increased when the tumor involves high sacral levels. The authors review the clinical presentation and natural history of sacral chordoma and discuss the current treatment techniques and outcomes.

journal_name

Neurosurg Focus

journal_title

Neurosurgical focus

authors

Fourney DR,Gokaslan ZL

doi

10.3171/foc.2003.15.2.9

subject

Has Abstract

pub_date

2003-08-15 00:00:00

pages

E9

issue

2

issn

1092-0684

pii

150309

journal_volume

15

pub_type

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