Utilize este identificador para referenciar este registo: http://hdl.handle.net/10400.26/7407
Título: Modified kraske procedure with mid-sacrectomy and coccygectomy for en bloc excision of sacral giant cell tumors.
Autor: Gonçalves, VM
Lima, A
Gíria, J
Carvalho, N
Carreira, J
Cunha e Sá, M
Palavras-chave: Giant Cell Tumors
Tumores de Células Gigantes
Data: 2014
Citação: Case Rep Surg. 2014;2014:834537.
Resumo: 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.
Peer review: yes
URI: http://hdl.handle.net/10400.26/7407
Aparece nas colecções:Saúde - CUF - Infante Santo - Artigos Científicos

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