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KMID : 0613320050110020148
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Journal of the Korean Bone and Joint Tumor Soceity
2005 Volume.11 No. 2 p.148 ~ p.154
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천추, 척색종, 완전 절제술, 장기 추시 결과
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Chung Jae-Yoon
Lee Jae-Joon
Seo Hyoung-Yeon
Jung Sung-Taek
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Abstract
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Purpose: To evaluate the long term results of surgical treatment for sacral chordoma.
Material and Method: We reviewed the records of 4 patients with sacral tumor treated surgical resection. Mean follow-up duration was 8.3 year(3~11). All cases were performed complete resection of tumor mass through posterior approach in 3 cases and anterior-posterior approach in one. The most caudad nerve-roots spared were the second sacral roots in one and the third sacral roots in 3 cases. Functions of voiding and defecation including neurological symptoms of lower extremities, other complications of surgical treatment, and local recurrence or distant metastasis of tumor were evaluated.
Result: There was no motor deficit in all cases, but radiating pain was developed in one and wound infection in one. Bladder function was preserved in 2 cases, intermittent incontinence in one, and doing intermittent catheterization in one. Bowel function was preserved in one and 2 cases were suffered from constipation. At the last follow-up, disease-free was in one, local recurrence in one, and local recurrence with distant metastasis in one.
Conclusion: The result of surgical resection for sacral chordoma is satisfactory showing average 8 years survival. Early detection and aggressive surgical treatment is the best to prolong survival and to minimize functional deficit with preservation of upper sacral nerves.
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KEYWORD
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Sacrum, Chordoma, Complete resection, Long-term result
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