Publication
Modified kraske procedure with mid-sacrectomy and coccygectomy for en bloc excision of sacral giant cell tumors.
| dc.contributor.author | Gonçalves, VM | |
| dc.contributor.author | Lima, A | |
| dc.contributor.author | Gíria, J | |
| dc.contributor.author | Carvalho, N | |
| dc.contributor.author | Carreira, J | |
| dc.contributor.author | Cunha e Sá, M | |
| dc.date.accessioned | 2015-01-04T19:33:20Z | |
| dc.date.available | 2015-01-04T19:33:20Z | |
| dc.date.issued | 2014 | |
| dc.description.abstract | Sacral giant cell tumors are rare neoplasms, histologically benign but potentially very aggressive due to the difficulty in achieving a complete resection, their high recurrence rate, and metastization capability. Although many treatment options have been proposed, en bloc excision with tumor-free margins seems to be the most effective, being associated with long term tumor control, improved outcome, and potential cure. An exemplifying case of a 29-year-old female with progressive complaints of pain and paresthesias in the sacral and perianal regions, constipation, and weight loss for 6 months is presented. The surgical technique for en bloc excision of a large sacral giant cell tumor through a modified Kraske procedure with mid-sacrectomy and coccygectomy is described. Complete resection with wide tumor-free margins was achieved. At 5 years of follow-up the patient is neurologically intact, without evidence of local recurrence on imaging studies. A multidisciplinary surgical procedure is mandatory to completely remove sacral tumors. In the particular case of giant cell tumors, it allows minimizing local recurrence preserving neurovascular function, through a single dorsal and definitive approach. | por |
| dc.identifier.citation | Case Rep Surg. 2014;2014:834537. | por |
| dc.identifier.doi | 10.1155/2014/834537 | |
| dc.identifier.uri | http://hdl.handle.net/10400.26/7407 | |
| dc.language.iso | eng | por |
| dc.peerreviewed | yes | por |
| dc.subject | Giant Cell Tumors | por |
| dc.subject | Sacrum | por |
| dc.subject | Coccyx | por |
| dc.subject | Cóccix | por |
| dc.subject | Tumores de Células Gigantes | por |
| dc.subject | Sacro | por |
| dc.title | Modified kraske procedure with mid-sacrectomy and coccygectomy for en bloc excision of sacral giant cell tumors. | por |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| rcaap.rights | openAccess | por |
| rcaap.type | article | por |