Sacral chordoma: clinical experience of a series of 11 patients over 18 years.


Journal

European journal of orthopaedic surgery & traumatology : orthopedie traumatologie
ISSN: 1432-1068
Titre abrégé: Eur J Orthop Surg Traumatol
Pays: France
ID NLM: 9518037

Informations de publication

Date de publication:
Jan 2019
Historique:
received: 26 03 2018
accepted: 21 07 2018
pubmed: 2 8 2018
medline: 3 5 2019
entrez: 2 8 2018
Statut: ppublish

Résumé

Sacral chordoma are rare low-to-intermediate grade malignant tumours that occur most commonly within the sacrum. Sacrectomy with wide resection margins seems to offer the best long-term prognosis.  This study aims to review the management of sacral chordomas including the duration of symptoms, features, treatment, complications and local recurrence rate following surgery at a tertiary centre. We retrospectively reviewed 11 patients treated at our institution between years 1999 and 2015. Patient data included age, sex, history, radiographs, surgical details, onset of recurrence, subsequent treatment, disease-free survival and overall survival were analyzed. Nine patients underwent surgical management with 1 through a sacral approach and eight patients through a combined abdominosacral approach. Despite wide resection in our series, sacral chordoma poses a major problem with approximately 60% of patients having local recurrence in their follow-up.

Identifiants

pubmed: 30066091
doi: 10.1007/s00590-018-2284-x
pii: 10.1007/s00590-018-2284-x
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

9-15

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Auteurs

Jason Beng Teck Lim (JBT)

Department of Orthopaedic Surgery, Singapore General Hospital, Outram Road, Singapore, 169608, Republic of Singapore. jason.lim@mohh.com.sg.

Henry Soeharno (H)

Department of Orthopaedic Surgery, Singapore General Hospital, Outram Road, Singapore, 169608, Republic of Singapore.

Mann Hong Tan (MH)

Department of Orthopaedic Surgery, Singapore General Hospital, Outram Road, Singapore, 169608, Republic of Singapore.

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