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Revista Mexicana de Coloproctología Enfermedades del Ano, Recto y Colon

2007, Number 2

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Rev Mex Coloproctol 2007; 13 (2)

Sacrococcygeal chordoma. A case report

Alfonzo NR, Díaz BI, Sierra MJC

Language: Spanish
References: 42
Page: 53-58
PDF size: 226.65 Kb.


ABSTRACT

The Sacrococcygeal Chordoma is a rare, malign and insidious starting tumor, that is origin from the remainder of primitive notocorda. We show next, the case of one 39 years old, male patient who goes to consultation for having perianal pain, starting 18 months a go with rectal tenesmus. There were made imagenologics studies (CAT and MRI) that reports: postrectal tumoration with sacrococcygeal destruction, groin adenopathy or inguinal nodes, and pelvic region invasion to perirectal fat. There was realized a guide puncture by TAC, and Diagnosis was Myxoma Papilar/Sacroccocygeal Chordoma. The surgery was a partial Sacrococcygectomy, getting and operation piece with size 9 x 7 x 4 cm. The immunohistochemical study; Concluded: Chordoma.


REFERENCES

  1. Langman. Embriología médica. 7ª edición. Buenos Aires: Editorial Médica Panamericana 1996.

  2. Moore KL. Embriología básica. Tercera edición. Río de Janeiro: Editorial Guanabara Koogan S.A. 1991.

  3. Netter FH. Sistema nervioso, trastornos neurológicos y neuromusculares. Tomo 1 y 2. Colección Netter de Ilustraciones Médicas. Barcelona: Masson, S.A. 1999.

  4. Valls O, Marinello Z. Tumores y lesiones pseudotumorales del esqueleto. Barcelona: Editorial Espaxs 1979: 345-52.

  5. Rosai J, Ackermans. Surgical pathology. Eight edition: Mosby 1996.

  6. Youmans JR. Neurological Surgery. Four edition. Philadelphia: W.B Saunders Company 1996: 4.

  7. Heffelfinger MJ, Dahlin DC, MacCarty CS. Chordomas and cartilaginous tumors at the skull base. Cancer 1973; 32: 410-20.

  8. Rosai J. Patología quirúrgica. Ciudad de La Habana. Editorial Científico Técnica 1983.

  9. Jeffrey PB, Biana CG, Davis RL, Chondroid chordoma. A hyalinized chordoma without cartilaginous differentiation (see comments). Review. Amer J Clin Pathol 1995; 103: 271-9.

  10. Carstens PH. Chondroid tumor: a light, election microscopic and immunohistochemical study. (Review). Ultrast Pathol 1995; 19: 291-5.

  11. Wiebe BM, Jeusen K, Laursen H. Parachordoma of the sacrococcygeal region a neuroepithelial tumor. Clin Neuropathol 1995; 14: 343-6.

  12. Vaquero J, Herrero J, Piqueras C, Hotait H. Radicular mesenchymal chondrosarcoma. Case report. Neurocirugía (España) 1996; 7: 46-8.

  13. Vaquero J, Pontón P, Martínez R, Aragonés P. Intraspinal meningeal mesenchymal chondrosarcoma. Neurocirugía (España) 1991; 2: 51-3.

  14. Rosenberg AE, Brown GA, Bhan AK, Lee JM. Chondroid chordoma, a variant of chordoma. A morphologic and immunohistochemical study. Amer J Clin Patholog 1994; 10: 36-41.

  15. Naka T, Fukuta T, Chuman H, Iwamoto Y, Sugioka Y, Fukuki M. Proliferative activities in conventional chordoma: a clinicopathologic DNA flow cytometric and immunohistochemical analysis of 17 specimens with special reference to anaplastic chordoma showing a diffuse proliferation and nuclear atypia. Hum Pathol 1996; 27: 381-8.

  16. Pascual CI. Neurología infantil. Tomo II. Barcelona: Editorial Científico Médica 1983: 1222-4.

  17. Epstein BS. Afecciones de la columna y la médula espinal. Estudio radiológico y clínico. Ciudad de La Habana: Editorial Científico Técnica 1993.

  18. Enzinger FM, Sharon WW. Soft tissue tumor. Third edition: Edith Mosby 1994: 991-8.

  19. Del Bueno G, Leone V, Messerini L. Sacrococcygeal chordoma simulating pilonidal cyst. Minerva Chir 1997; 52: 131-7.

  20. Hernan P, Guichard JP, Marianowski R. Therapeutic management of craniocervical chordoma. Ann Otolaryngol Chir Cervicofac 1996; 113: 3-9.

  21. Harrison. Principios de medicina interna. 3ra edición. Vol II. Madrid: Interamericana McGraw-Hill 1994.

  22. Wippold FJ, Koeller KK, Smirniotopoulos JG. Clinical and imaging features of cervical chordoma. Am J Roentgenol 1999; 172: 1423-6.

  23. Higinbothan NL, Phillips RF, Far HW, Hustu O. Chordomas: thirty-five years study at Memorial Hospital. Cancer 1967; 20: 1841-50.

  24. Alleyne CH. Neurosurgery. Board Review. In: Barrow DL, Tindall SC, Oyesiku NM editors. Questions and answer for self-assessment. New York. Thielme New York. Stuttgart 1997.

  25. Abdelwahab IF, Camis MB, Hermann G, et al. Giant cell tumour of the seventh cervical vertebra. Can Assoc Radiol J 1995; 46: 454-7.

  26. D’haen D, De Jaegere T, Goffin J, Dom R, Damaerel P, Plets C. Chordoma of the low cervical spine. Review. Clin Neurol Neurosurg 1995; 97: 245-8.

  27. Fumo F, Salvati V, Marano I, Vetrani A, Fumo M, Cioffi A. Cordoma sacrococcigeo: aspetti clinico-radiologicie. Minerva Chirurg 1995; 50: 799-803.

  28. Logroscimo CA, Astolfi S, Sacchettoni G. Chordoma: long-term evacuation of 15 cases treated surgically. Chir Organi Mov 1998; 83: 87-103.

  29. Boriani S, Biagini R, De Iure F. Resection surgery in the treatment of vertebral tumors. Chir Organi Mov 1998; 83: 53-64.

  30. Adams R, Víctor M. Principios de neurología. Ciudad de La Habana: Editorial Científico Técnica. 1982.

  31. Klekamp J, Samil M. Spinal chordomas. Results of treatment over 17 years period. Acta Neurochirurg 1996; 138: 514-9.

  32. Hsu KY, Zucherman JF, Murtenser N. Follow-up evaluation of resected lumbar vertebral chordoma 11 years: a case report. Spine 2000; 25: 2537-40.

  33. Abe E, Sato K, Tazana H. Total spondylectomy for primary tumor of the thoracolumbar spine. Spinal Cord 2000; 38: 146-52.

  34. Fujita T, Kawahar N, Matsumoto T. Chordoma in the cervical spine managed with “en block” excision. Spine 1999; 24: 1848-51.

  35. Grupta SK, Sharma BS, Khosla VK. Far lateral approach for foramen magnum lesions. Neurol Med Chir (Tokyo) 2000; 40: 48-52.

  36. Wuisman P. The polster vertebral implant for tumors of the spine. Chir Organi Mov 1998; 83: 185-9.

  37. Sundaresan N, Steinberg AA, Moore F. Indications and results of combined anterior-posterior approach for spine tumor surgery. J Neurosurg 1996; 85: 438-46.

  38. Lopes A, Rossi BM, Silveira CR. Chordoma: retrospective analysis of 24 cases. Rev Paul Med 1996; 114: 1312-6.

  39. Heary RF, Vaccaro AR, Benevenia I. “En-bloc” vertebrectomy in the mobile lumbar spine. Surg Neurol 1998; 50: 548-56.

  40. Fagundes MA, Hug EB, Liebsch NJ, Daly W, Efird J, Munzenrider JE. Radiation therapy for chordomas of the base of skull and cervical spine: patterns of failure and outcome after relapse. Internat J Radiat Oncol Biol Phys 1995; 33: 579-84.

  41. Thieblemont C, Biron P, Rocher F, Boukor D, Bobin JF, Gerard JP. Prognostic factors in chordoma: role of postoperative radiotherapy. Europ J Cancer 1995; 31A: 2255-9.

  42. Hug EB, Fitzek MM, Liebsch NJ, Munzeurider JE. Locally challenging osteo and chondrogenic tumors of the axial skeleton: results of combined proton and proton radiation therapy sing three-dimensional treatment planning. Internat J Radiat Oncol Biol Phys 1995; 31: 467-76.




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