Cruz GO, González CE, Dinza ZL, Noriega OPA, Caballero GJ, Hernández DZ

Language: Spanish
References: 15
Page: 161-165
PDF size: 505.98 Kb.

ABSTRACT

Introduction: Sacrococcigeal cordoma represents more than 50 percent of the cordomas. The total resection in block combined with radiotherapy in high dose has shown to prolong the recurrence.
Clinical case: Male, 58 years old operated of sacrococcigeal cordoma is presented by means of total resection in block for posterior approach. The postoperative image studies confirmed the total removal. It presented cerebrospinal fistulae and local infection treated with spinal drainage and antibiotics. Also, transient urinary incontinence occurred for 6 months. After that he received cobalt radiotherapy. Until now he stayed asymptomatic and free of illness in resonance magnetic images.
Conclusions: The best treatment options are obtained with a focus multidisciplinary, in specialized centers and with advanced neurosurgical and radiotherapy techniques.

REFERENCES

1. Kurup AN, Woodrum DA, Morris JM, Atwell TD, Schmit GD, Welch TH, et al. Cryoablation of Recurrent Sacrococcygeal Tumors. J Vasc Interv Radiol. 2012;23:1070–5.

2. Sierra–Montenegro E, Sierra–Luzuriaga G, Carrilo–Védova C, Leone–Stay G. Exteriorización del cordoma sacro a partes blandas. Informe de un caso. Cir Cir. 2010;78:546–9.

3. Jing–Yue G, Xiao–Feng H, Yong C, Qing–Le Z, Que–Lin M, Yan–Hao L. Percutaneous Intratumoral Injection With Pingyangmycin Lipiodol Emulsion for the Treatment of Recurrent Sacrococcygeal Chordomas. J Vasc Interv Radiol. 2011;22:1216–20.

4. Boriani S, Saravanja D, Yamada Y, Varga PP, Biagini R, Fisher CG. Challenges of local recurrence and cure in low Cordoma sacrococcígeo: presentación de un caso Rev Cubana Neurol Neurocir. 2014;4(2):161–5 165 grade malignant tumors of the spine. Spine. 2009;34(22):48–57.

5. Kucia EJ, Maughan PH, Kakarla UK, Bambakidis NC, Spetzler RF. Surgical technique and outcomes in the treatment of spinal cord ependymomas: part II: myxopapillary ependymoma. Neurosurgery. 2011;68(1):90–4.

6. Pica A, Miller R, Villa S, Kadish SP, Anacak Y, Abusaris H, et al. The results of surgery, with or without radiotherapy, for primary spinal myxopapillary ependymoma: a retrospective study from the rare cancer network. Int J Radiat Oncol Biol Phys. 2009;74:1114–20.

7. Tang X, Guo W, Yang R, Tang S, Ji T. Risk factors for blood loss during sacral tumor resection. Clin Orthop Relat Res. 2009;467:1599–604.

8. Yoshiaki Okaji R, Marcondes da Silveira J, Kanenori Nakano M, Tomokazu Kiuti L, Cecília Teixeira Maiorano MN. Sacral chordoma en–bloc resection and lumbar–iliac stabilization. Arq Neuropsiquiatr. 2008;66(2–B):400–01.

9. Jeys L, Gibbins R, Evans G, Grimer R. Sacral chordoma: a diagnosis not to be sat on? Int Orthop. 2008;l(32):269–72.

10. Camps Lasa J, Navarro Luna A, García Bachb M, Pando López JA, Marco Molina C. Cordoma sacrococcígeo. Abordaje por vía posterior. Cir Esp. 2008;84(6):338–46.

11. Ferraresi V, Nuzzo C, Zoccali C, Marandino F, Vidiri A, Salducca N, et al. Chordoma: clinical characteristics, management and prognosis of a case series of 25 patients. BMC Cancer. 2010;10:22.

12. Enríquez–Navascués JM, Elósegui JL, Placer C, Lizarazu A, Villarreal E. El caso de la paciente que no podía ponerse el bikini: una forma inaudita de presentación clínica del cordoma sacro. Cir Esp. 2010;87:324–6.

13. Alfonzo Núñez R, Díaz Blancofombona I, Sierra Mileo JC. Cordoma sacrococcígeo. A propósito de un caso. Rev. Mex. Colopro. 2007;13(2):53–8.

14. Xue–Son L, Chao Y, Kai–Yong Y, Si–Qing H, Heng Z. Surgical excision of extensive sacrococcygeal chordomas assisted by occlusion of the abdominal aorta. J Neurosurg Spine. 2010;12:490–6.

15. Moojen WA, Vleggeert–Lankamp C, Krol A, Dijkstra S. Long-term results: adjuvant radiotherapy in en bloc resection of sacrococcygeal chordoma is advisable. Spine (Phila Pa 1976). 2011;36(10):E656-61.