Cortes-Torres Edgar Joaquín, Gutiérrez-Quezada Erick, Fuentes-Orozco Clotilde, Flores-Prado Juan Armando, Delgado-Hernández Gonzálo, Tavares-Ortega Jaime Alberto, González-Ojeda Alejandro
Instituto Mexicano del Seguro Social, Centro Médico Nacional de Occidente, Unidad Médica de Alta Especialidad, Departamento de Cirugía Oncológica. Guadalajara, Jalisco, México.
Instituto Mexicano del Seguro Social, Centro Médico Nacional de Occidente, Unidad Médica de Alta Especialidad, Unidad de Investigación Biomédica 02. Guadalajara, Jalisco, México.
Rev Med Inst Mex Seguro Soc. 2024 Mar 4;62(2):1-8. doi: 10.5281/zenodo.10711647.
Primary malignant bone tumors are rare however, have a high global mortality rate. Osteosarcoma and chondrosarcoma are the most common bone sarcomas in the pelvis. The surgical management of primary bone tumors in the pelvis is challenging and depends on several factors. Internal hemipelvectomy with extremity preservation has become more popular compared to external hemipelectomy.
Identify and describe characteristics of the surgical management of bone tumors and soft tissues of the pelvis by means of hemipelvectomy.
Observational study of consecutive cases, in which patients with bone and soft tissue tumors undergoing hemipelvectomy were identified from January 2010 to December 2020 at the Oncology Surgery Department, using the Musculoskeletal Tumor Society (MSTS) scale.
17 patients with pelvic tumors were included, 10 (58.8%) primary bone sarcomas, 3 (17.6%) soft tissue sarcomas, 3 (17.6%) benign bone tumors, 1 (5.8%) neoplasia of hematological origin. Average follow-up of 30 ± 14. Most frequent surgical complication, surgical wound seroma, 6 patients (37.5%).
A multidisciplinary team is required to individualize treatment with the best sequence of options, giving improvement in oncological and functional results.
原发性恶性骨肿瘤较为罕见，但全球死亡率较高。骨肉瘤和软骨肉瘤是骨盆中最常见的骨肉瘤。骨盆原发性骨肿瘤的外科治疗具有挑战性，且取决于多种因素。与半骨盆切除术相比，保留肢体的内侧半骨盆切除术越来越受欢迎。
通过半骨盆切除术识别并描述骨盆骨肿瘤和软组织的外科治疗特点。
对连续病例进行观察性研究，2010年1月至2020年12月期间，在肿瘤外科使用肌肉骨骼肿瘤学会（MSTS）量表识别接受半骨盆切除术的骨和软组织肿瘤患者。
纳入17例骨盆肿瘤患者，10例（58.8%）为原发性骨肉瘤，3例（17.6%）为软组织肉瘤，3例（17.6%）为良性骨肿瘤，1例（5.8%）为血液系统来源的肿瘤。平均随访时间为30±14。最常见的手术并发症是手术切口血清肿，6例患者（37.5%）。
需要一个多学科团队根据最佳选择顺序进行个体化治疗，以改善肿瘤学和功能结果。
