Garcia Mora Mauricio, Mariño Ivan Fernando, Puerto Horta Leidy Juliana, Gonzalez Felipe, Diaz Casas Sandra
Breast and Soft Tissue Surgery, Instituto Nacional de Cancerología, Bogotá D.C., COL.
Breast and Soft Tissue Surgery, Instituto Nacional de Cancerología, Bogota D.C., COL.
Cureus. 2021 Oct 11;13(10):e18690. doi: 10.7759/cureus.18690. eCollection 2021 Oct.
Sacral chordomas are malignant, locally aggressive, and rare tumors. Its presentation can be diverse on the entire spine, being more frequent in the sacrococcygeal region. The main treatment is complete surgical resection, which can be performed using different approaches depending on the case. We present the case of a 44-year-old woman with a history of a complex adnexal mass, with an imaging finding of a presacral mass displacing the uterus and rectum, with a histological report of an image-guided biopsy suggestive of a soft-tissue myoepithelioma-like tumor, which was managed with a combined approach: anterior transabdominal laparoscopic and posterior approach, achieving complete tumor resection, without postoperative complications and with the benefits of minimally invasive surgery. The pathology report of the surgical piece was compatible with sacral chordoma.
骶骨脊索瘤是一种恶性、具有局部侵袭性的罕见肿瘤。它在整个脊柱的表现可能多种多样，在骶尾区域更为常见。主要治疗方法是完整的手术切除，可根据具体情况采用不同的手术入路。我们报告一例44岁女性病例，该患者有复杂附件肿物病史，影像学检查发现骶前肿物使子宫和直肠移位，影像引导下活检的组织学报告提示为软组织肌上皮瘤样肿瘤，采用联合手术入路治疗：经腹腹腔镜前路和后路联合入路，实现了肿瘤的完整切除，无术后并发症，且具有微创手术的优势。手术标本的病理报告与骶骨脊索瘤相符。
