Krebs H, Baca I
Arch Orthop Trauma Surg (1978). 1979;95(3):187-97. doi: 10.1007/BF00460118.
In the world literature is reported about 584 tumors of the sacrococcygeal region, 484 of them are analysed exactly. The symptoms of the various tumors are about the same, pain and nerval irritation were seen in the most cases. Rectal-digital examination mostly leads to diagnosis. Computertomography is of special diagnostic value since some years. Because of the localisation of the tumor therapy often is difficult. Operation is the only way to remove the tumor and should be done so radically as possible. Radiation therapy may induce malignant degeneration. Adjuvant chemotherapy till now is without of any any effect. In the paper we report about the very seldom malignant meningeoma of the sacrum, in the literature we could not find any other case. Besides this and the 584 cases of the literature there is reported about 4 other own cases of sacrococcygeal tumors, one neurofibroma and three giant cell tumors of the Os sacrum.
世界文献报道了约584例骶尾部肿瘤，其中484例得到了精确分析。各种肿瘤的症状大致相同，大多数病例都有疼痛和神经刺激症状。直肠指检大多可得出诊断结果。计算机断层扫描多年来具有特殊的诊断价值。由于肿瘤的位置，治疗往往很困难。手术是切除肿瘤的唯一方法，应尽可能彻底地进行。放射治疗可能会导致恶性变。迄今为止，辅助化疗没有任何效果。在本文中，我们报告了极少见的骶骨恶性脑膜瘤，在文献中我们未找到其他病例。除此之外，加上文献中的584例病例，我们还报告了另外4例我们自己诊治的骶尾部肿瘤病例，1例神经纤维瘤和3例骶骨巨细胞瘤。
