Pendharkar Arjun V, Ho Allen L, Sussman Eric S, Desai Atman
Department of Neurosurgery, Stanford University School of Medicine.
Cureus. 2015 Aug 12;7(8):e301. doi: 10.7759/cureus.301.
Sacral chordomas represent more than 50% of all sacral tumors. These slow-growing, malignant lesions present insidiously and are often large and intimately involved with sacral neurovascular and pelvic structures. En bloc resection is the only well-established predictor of progression-free survival. Optimal surgical management requires a complex multi-disciplinary approach. Here, we describe two cases of sacral chordoma and review current management paradigms.
骶骨脊索瘤占所有骶骨肿瘤的50%以上。这些生长缓慢的恶性病变起病隐匿,通常体积较大,并与骶骨神经血管及盆腔结构紧密相连。整块切除是无进展生存期唯一已明确的预测指标。最佳的手术治疗需要复杂的多学科方法。在此,我们描述两例骶骨脊索瘤病例并回顾当前的治疗模式。