Abstract
Kordomalar bilindiği üzere primitif notokord artıklarından gelişen nadir primer malign lezyonlardır. Özelliklekemoterapiye ve kısmen de radyoterapiye de cevabın zayıf olması nedeniyle, bu tümörlerin tedavisinde cerrahigirişim halen tedavinin belkemiğini oluşturmaktadır. Bu tümörlerde cerrahi rezeksiyonun boyutu hastalıksızsürveyin sağlanmasında major bir etkiye sahiptir. Lezyon lokalizasyonuna bağlı olarak çeşitli cerrahi yaklaşımteknikleri mevcut olmasına rağmen, postoperatif gelişebilecek risklerin hasta ile detaylıca tartışılması ve bunagöre bir cerrahi yaklaşımın planlanması uygun olacaktır. Bu yazıda sakral kordoma olgusu sunulacak veberaberinde cerrahi rezeksiyon boyutları tartışılmaya çalışılacaktır
Keywords
References
- Chugh R, Tawbi H, Lucas R, et al. Chordoma: The nonsarcoma primary bone tumor. The Oncologist 2007;12:1344-50.
- Baratti D, Gronchi A, Pennacchioli E, Lozza L, Colecchia M, Fiore M, Santinami M. Chordoma: Natural history and results in 28 patients treated at a single institution.Ann Surg Oncol 2002;10:291-6.
- Bergh P, Kindblom L, Gunterberg B, et al. Prognostic factors in chordoma of the sacrum and mobile spine. A study of 39 patients. Cancer 2000;88:2122-34.
- Killampali VV, Power D, Stirling AJ. Preadolescent presentation of a lumbar chordoma. Results of vertebrectomy and fibula strut graft reconstruction at 8 years. Eur Spine J 2006;15 (Suppl. 5):621-5.
- Spitzer AL, Ceraldi CM, Wang TN, Granelli SG. Anatomic classification system for surgical management of paraspinal tumors. Arch Surg 2004;39:262-9.
- Yonemoto T, Tatezaki S, Takenouchi T, et al. The surgical management of sacrococcygeal chordoma. Cancer 1999;85:878-83.
- Atalar H, Selek H, Yıldız Y, Sağlık Y. Management of sacrococcygeal chordomas. International Orthopaedics (SICOT) 2006;30:514-8. YA, Wolinsky JP, Suk I, Gökaslan ZL.Spinal pelvic reconstruction after total sacrectomy for en bloc resection of a giant sacral chordoma:Technical note. J Neurosurg Spine 2005;3:501-6.
- Şar C. Sakrumun primer tümörlerinin cerrahi tedavisinde total sakrektomi ve lumbopelvik rekonstrüksiyon. Acta Orthop Traumatol Turc 2001;35:79-83. YAZIŞMAADRESİ E-Posta
- :nrsdrhakanak@yahoo.com
- Geliş Tarihi :31.07.2009
- Kabul Tarihi :16.10.2009
- Localio SA, Eng K, Ranson JH. Abdominosacral approach for retrorectal tumors. Ann Surg 1980;191:555-60.
- Localio SA, Francis KC, Rossano PG.Abdominosacral resection of sacrococcygeal chordoma. Ann Surg 1967;166:394-402.
- Samson IR, Springfield DS, Suit HD, Mankin HJ. Operative treatment of sacrococcygeal chordoma. A review of twenty-one cases. J Bone Joint Surg Am 1993; 75:1476-84.
- Sung HW, Shu WP, Wang HM, Yuai SY, Tsai YB. Surgical treatment of primary tumors of the sacrum. Clin Orthop 1987;215:91-8.
- Gallia GL, Haque H, Garonzik I, Witham TF, Khavkin
Abstract
Chordomas are rare primary malign neoplasms arised from the remnants of primitive notochord. Surgery is the basic therapeutic approach in the management of these tumors because of unresponsiveness especially to chemotherapy and relatively radiotherapy. Extent of the surgical resection has a major role in the disease-free survival in chordomas.Although there are some surgical techniques depending on the localization of the tumor, it must be planned after detailed discussion of the postoperative consequences with the patient. In this study we present a sacral chordoma case and tried to explain the extent of the surgical approach.
Keywords
References
- Chugh R, Tawbi H, Lucas R, et al. Chordoma: The nonsarcoma primary bone tumor. The Oncologist 2007;12:1344-50.
- Baratti D, Gronchi A, Pennacchioli E, Lozza L, Colecchia M, Fiore M, Santinami M. Chordoma: Natural history and results in 28 patients treated at a single institution.Ann Surg Oncol 2002;10:291-6.
- Bergh P, Kindblom L, Gunterberg B, et al. Prognostic factors in chordoma of the sacrum and mobile spine. A study of 39 patients. Cancer 2000;88:2122-34.
- Killampali VV, Power D, Stirling AJ. Preadolescent presentation of a lumbar chordoma. Results of vertebrectomy and fibula strut graft reconstruction at 8 years. Eur Spine J 2006;15 (Suppl. 5):621-5.
- Spitzer AL, Ceraldi CM, Wang TN, Granelli SG. Anatomic classification system for surgical management of paraspinal tumors. Arch Surg 2004;39:262-9.
- Yonemoto T, Tatezaki S, Takenouchi T, et al. The surgical management of sacrococcygeal chordoma. Cancer 1999;85:878-83.
- Atalar H, Selek H, Yıldız Y, Sağlık Y. Management of sacrococcygeal chordomas. International Orthopaedics (SICOT) 2006;30:514-8. YA, Wolinsky JP, Suk I, Gökaslan ZL.Spinal pelvic reconstruction after total sacrectomy for en bloc resection of a giant sacral chordoma:Technical note. J Neurosurg Spine 2005;3:501-6.
- Şar C. Sakrumun primer tümörlerinin cerrahi tedavisinde total sakrektomi ve lumbopelvik rekonstrüksiyon. Acta Orthop Traumatol Turc 2001;35:79-83. YAZIŞMAADRESİ E-Posta
- :nrsdrhakanak@yahoo.com
- Geliş Tarihi :31.07.2009
- Kabul Tarihi :16.10.2009
- Localio SA, Eng K, Ranson JH. Abdominosacral approach for retrorectal tumors. Ann Surg 1980;191:555-60.
- Localio SA, Francis KC, Rossano PG.Abdominosacral resection of sacrococcygeal chordoma. Ann Surg 1967;166:394-402.
- Samson IR, Springfield DS, Suit HD, Mankin HJ. Operative treatment of sacrococcygeal chordoma. A review of twenty-one cases. J Bone Joint Surg Am 1993; 75:1476-84.
- Sung HW, Shu WP, Wang HM, Yuai SY, Tsai YB. Surgical treatment of primary tumors of the sacrum. Clin Orthop 1987;215:91-8.
- Gallia GL, Haque H, Garonzik I, Witham TF, Khavkin
Details
| Other ID | JA32NU74GJ |
|---|---|
| Journal Section | Research Article |
| Authors | |
| Publication Date | November 9, 2010 |
| Published in Issue | Year 2010 Volume: 11 Issue: 2 |