Pelvic sacral and hemi lumbar spine resection of low grade pelvic chondrosarcoma: A multistage procedure involving vascular bypass, spine fixation and vascular exclusion

C. Zoccali, G. Marolda, A. Di Francesco, L. Favale, N. Salducca, R. Biagini

Research output: Contribution to journalArticle

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 languageEnglish
Pages (from-to)875-879
Number of pages5
JournalOrthopaedics and Traumatology: Surgery and Research
Volume99
Issue number7
DOIs
Publication statusPublished - Nov 2013

Fingerprint

Chondrosarcoma
Blood Vessels
Spine
Exostoses
Iliac Vein
Iliac Artery
Ureter
Pelvis
Amputation
Neoplasms
Neoplasm Metastasis
Lung

Keywords

  • Extra-anatomical vascular bypass
  • Lumbar resection
  • Pelvic chondrosarcoma
  • Pelvic resection
  • Pelvic tumor

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

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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.",
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AU - Zoccali, C.

AU - Marolda, G.

AU - Di Francesco, A.

AU - Favale, L.

AU - Salducca, N.

AU - Biagini, R.

PY - 2013/11

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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.

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