Abstract
Peripheral chondrosarcoma is a rare tumor particularly insidious when arising from the pelvis, becoming symptomatic later in time when surgery may be too difficult and dangerous due to this complex area. In the present case, the tumor arose from an exostosis located on the medial surface of the left iliac wing. Its diameter was 25. cm × 20. cm × 15. cm, adhering to the last three vertebrae, involving the left iliac vein and artery, displacing the left ureter. In a similar case, a hindquarter amputation is indicated but, if the patient refuses, a resection remains possible. In this paper, we describe a multistage technique consisting of an extra-anatomic vascular bypass, a lumbar stabilization, a neurovascular bundles anterior isolation and a postero-lateral resection of this mass. After a five-year follow-up, the patient is alive and able to stand and walk with support, after undergoing twice lung metastasis removal.
| Original language | English |
|---|---|
| Pages (from-to) | 875-879 |
| Number of pages | 5 |
| Journal | Orthopaedics and Traumatology: Surgery and Research |
| Volume | 99 |
| Issue number | 7 |
| DOIs | |
| Publication status | Published - Nov 2013 |
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Keywords
- Extra-anatomical vascular bypass
- Lumbar resection
- Pelvic chondrosarcoma
- Pelvic resection
- Pelvic tumor
ASJC Scopus subject areas
- Orthopedics and Sports Medicine
- Surgery
Cite this
Pelvic sacral and hemi lumbar spine resection of low grade pelvic chondrosarcoma : A multistage procedure involving vascular bypass, spine fixation and vascular exclusion. / Zoccali, C.; Marolda, G.; Di Francesco, A.; Favale, L.; Salducca, N.; Biagini, R.
In: Orthopaedics and Traumatology: Surgery and Research, Vol. 99, No. 7, 11.2013, p. 875-879.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Pelvic sacral and hemi lumbar spine resection of low grade pelvic chondrosarcoma
T2 - A multistage procedure involving vascular bypass, spine fixation and vascular exclusion
AU - Zoccali, C.
AU - Marolda, G.
AU - Di Francesco, A.
AU - Favale, L.
AU - Salducca, N.
AU - Biagini, R.
PY - 2013/11
Y1 - 2013/11
N2 - Peripheral chondrosarcoma is a rare tumor particularly insidious when arising from the pelvis, becoming symptomatic later in time when surgery may be too difficult and dangerous due to this complex area. In the present case, the tumor arose from an exostosis located on the medial surface of the left iliac wing. Its diameter was 25. cm × 20. cm × 15. cm, adhering to the last three vertebrae, involving the left iliac vein and artery, displacing the left ureter. In a similar case, a hindquarter amputation is indicated but, if the patient refuses, a resection remains possible. In this paper, we describe a multistage technique consisting of an extra-anatomic vascular bypass, a lumbar stabilization, a neurovascular bundles anterior isolation and a postero-lateral resection of this mass. After a five-year follow-up, the patient is alive and able to stand and walk with support, after undergoing twice lung metastasis removal.
AB - Peripheral chondrosarcoma is a rare tumor particularly insidious when arising from the pelvis, becoming symptomatic later in time when surgery may be too difficult and dangerous due to this complex area. In the present case, the tumor arose from an exostosis located on the medial surface of the left iliac wing. Its diameter was 25. cm × 20. cm × 15. cm, adhering to the last three vertebrae, involving the left iliac vein and artery, displacing the left ureter. In a similar case, a hindquarter amputation is indicated but, if the patient refuses, a resection remains possible. In this paper, we describe a multistage technique consisting of an extra-anatomic vascular bypass, a lumbar stabilization, a neurovascular bundles anterior isolation and a postero-lateral resection of this mass. After a five-year follow-up, the patient is alive and able to stand and walk with support, after undergoing twice lung metastasis removal.
KW - Extra-anatomical vascular bypass
KW - Lumbar resection
KW - Pelvic chondrosarcoma
KW - Pelvic resection
KW - Pelvic tumor
UR - http://www.scopus.com/inward/record.url?scp=84886292850&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84886292850&partnerID=8YFLogxK
U2 - 10.1016/j.otsr.2013.05.007
DO - 10.1016/j.otsr.2013.05.007
M3 - Article
C2 - 24074762
AN - SCOPUS:84886292850
VL - 99
SP - 875
EP - 879
JO - Orthopaedics and Traumatology: Surgery and Research
JF - Orthopaedics and Traumatology: Surgery and Research
SN - 1877-0568
IS - 7
ER -