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骶尾骨区域肿瘤的治疗策略。5例报告(作者译)

[Tactical approach to tumours of the sacro-coccygeal region. Report of five cases (author's transl)].

作者信息

Lajat Y, Mainard R, Lebatard-Sartre R, Rival J M, Robert R, Ravily G, Resche F

出版信息

J Chir (Paris). 1979 Aug-Sep;116(8-9):513-8.

PMID:536401
Abstract

The name of sacro-coccygeal tumors is used generally for various tumors embryologically different in their origin. Rare, but not exceptional in number, these sacro-coccygeal tumors may have various locations and different sizes which make diagnosis more or less difficult. Benign in the first months of life, risks of malignancy will increase with age. Systematical intrarectal exploration will help not to overlook pelvic forms and will recognize pelvic extension in other types. Once found out, the extension of these sacro-coccygeal tumors should be estimated by complementary examination choosen according to the presumed type of tumor and it is to be regretted that myelography should be so often neglected. Treatment should always be surgical with one piece aphotesis if possible; good preparation and exact reanimation of the child are necessary because sometimes surgical treatment may be a very severe aggression for small babies. Constant surgical and biological overall should be maintained for many years in order to discover as early as possible any local relapse or metastasis.

摘要

骶尾部肿瘤这一名称通常用于胚胎学起源不同的各类肿瘤。这些骶尾部肿瘤虽罕见,但数量并不稀少,它们可能有不同的位置和大小,这或多或少增加了诊断的难度。在生命的最初几个月为良性,但随着年龄增长,恶变风险会增加。系统的直肠内探查有助于不遗漏盆腔内的肿物,并识别其他类型肿物的盆腔扩展情况。一旦发现这些骶尾部肿瘤,应根据推测的肿瘤类型选择辅助检查来评估其扩展情况,遗憾的是脊髓造影术常常被忽视。治疗应始终采取手术方式,若可能应整块切除;必须对患儿做好充分准备并进行精确复苏,因为有时手术治疗对小婴儿来说可能是非常严重的侵袭。应持续多年进行手术和生物学方面的全面监测,以便尽早发现任何局部复发或转移。

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1
[Tactical approach to tumours of the sacro-coccygeal region. Report of five cases (author's transl)].骶尾骨区域肿瘤的治疗策略。5例报告(作者译)
J Chir (Paris). 1979 Aug-Sep;116(8-9):513-8.
2
[Sacro-coccygeal tumors in infants. Diagnosis of the lesions and surgical technic].[婴儿骶尾部肿瘤。病变的诊断与手术技术]
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Ann Chir Infant. 1964 Sep;5:179-86.
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