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KMID : 0613320130190020043
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Journal of the Korean Bone and Joint Tumor Soceity
2013 Volume.19 No. 2 p.43 ~ p.49
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Treatment Outcomes of Sacral Giant Cell Tumor
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Kong Chang-Bae
Lee Kwang-Youl
Song Won-Seok
Cho Wan-Hyeong
Koh Jae-Soo
Jeon Dae-Geun
Lee Soo-Yong
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Abstract
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Purpose: We analyzed the treatment outcomes of patients with sacral giant cell tumor.
Materials and Methods: We retrospectively reviewed 7 patients with giant cell tumor of the sacrum who were treated at out institutionbetween 1990 and 2012.
Results: There were 2 men and 5 women with mean age of 23.6 years. The average follow up was 52.3 months (range, 15-73months). Six patients received surgical treatment. Intralesional curettage was performed for the 5 patients and marginal resection foranother one patient. The remaining one patient was received radiation only. The patients who received radiation therapy and marginalexcision had no residual or recurrent tumors. Of 5 patients with intra-lesional excision, one patient needs one more operation;two patients need two more operation for local control of the giant cell tumor. The remaining two patients failed to gain local controlin spite of additional treatments.
Conclusion: For the treatment of sacral giant cell tumor, intralesional resection can be one of the treatments option with minimalneurologic injury. Furthermore, radiation therapy can be recommended when complete excision or curettage is impractical.
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KEYWORD
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giant cell tumor, sacrum, treatment
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