Trattamento demolitivo e ricostruttivo in un case di voluminoso cordoma del sacro

Translated title of the contribution: Surgical excision and reconstruction of a large sacral chordoma

C. Ronzani, E. Bossi, M. Sallusti, D. Bazzoni, A. Garbuglia, G. Tiberio

Research output: Contribution to journalArticle

Abstract

Chordomas are rare tumors which mostly are locally invasive; they are seen in the vertebral column and probably originate from embryonal rests of the chorda dorsalis. Those in the sacral region have a slow growth and can sometimes become very large and produce symptoms mainly due to local compression. The Authors discuss the case of a 67 yrs old man they have treated. After a description of the clinical features and of the protocol to follow to diagnose and evaluate this tumor, they describe the surgical treatment consisting of the resection of the sacral metameres involved and of the perisacral soft tissue as far as the rectal posterior wall. The reconstruction of the defect was obtained with a dural layer to protect the rectum and a polyester mesh. A gluteus maximus myocutaneous flap was then rotated to provide both adequate coverage to the underlying mesh and sacrum, and good quality tissue in view of the additional x-ray therapy. The patient is being followed-up and a year later there is no evidence of recurrence and the tissues are perfectly viable.

Original languageItalian
Pages (from-to)73-76
Number of pages4
JournalRivista Italiana di Chirurgia Plastica
Volume29
Issue number1
Publication statusPublished - 1997

Fingerprint

Chordoma
Sacrococcygeal Region
Sacrum
Myocutaneous Flap
Polyesters
Clinical Protocols
Rectum
Neoplasms
Spine
X-Rays
Recurrence
Therapeutics
Growth

ASJC Scopus subject areas

  • Surgery

Cite this

Ronzani, C., Bossi, E., Sallusti, M., Bazzoni, D., Garbuglia, A., & Tiberio, G. (1997). Trattamento demolitivo e ricostruttivo in un case di voluminoso cordoma del sacro. Rivista Italiana di Chirurgia Plastica, 29(1), 73-76.

Trattamento demolitivo e ricostruttivo in un case di voluminoso cordoma del sacro. / Ronzani, C.; Bossi, E.; Sallusti, M.; Bazzoni, D.; Garbuglia, A.; Tiberio, G.

In: Rivista Italiana di Chirurgia Plastica, Vol. 29, No. 1, 1997, p. 73-76.

Research output: Contribution to journalArticle

Ronzani, C, Bossi, E, Sallusti, M, Bazzoni, D, Garbuglia, A & Tiberio, G 1997, 'Trattamento demolitivo e ricostruttivo in un case di voluminoso cordoma del sacro', Rivista Italiana di Chirurgia Plastica, vol. 29, no. 1, pp. 73-76.
Ronzani, C. ; Bossi, E. ; Sallusti, M. ; Bazzoni, D. ; Garbuglia, A. ; Tiberio, G. / Trattamento demolitivo e ricostruttivo in un case di voluminoso cordoma del sacro. In: Rivista Italiana di Chirurgia Plastica. 1997 ; Vol. 29, No. 1. pp. 73-76.
@article{df7ab6eaec0d43469b435c2dff9c41c9,
title = "Trattamento demolitivo e ricostruttivo in un case di voluminoso cordoma del sacro",
abstract = "Chordomas are rare tumors which mostly are locally invasive; they are seen in the vertebral column and probably originate from embryonal rests of the chorda dorsalis. Those in the sacral region have a slow growth and can sometimes become very large and produce symptoms mainly due to local compression. The Authors discuss the case of a 67 yrs old man they have treated. After a description of the clinical features and of the protocol to follow to diagnose and evaluate this tumor, they describe the surgical treatment consisting of the resection of the sacral metameres involved and of the perisacral soft tissue as far as the rectal posterior wall. The reconstruction of the defect was obtained with a dural layer to protect the rectum and a polyester mesh. A gluteus maximus myocutaneous flap was then rotated to provide both adequate coverage to the underlying mesh and sacrum, and good quality tissue in view of the additional x-ray therapy. The patient is being followed-up and a year later there is no evidence of recurrence and the tissues are perfectly viable.",
author = "C. Ronzani and E. Bossi and M. Sallusti and D. Bazzoni and A. Garbuglia and G. Tiberio",
year = "1997",
language = "Italian",
volume = "29",
pages = "73--76",
journal = "Rivista Italiana di Chirurgia Plastica",
issn = "0391-2221",
publisher = "Editrice La Garangola",
number = "1",

}

TY - JOUR

T1 - Trattamento demolitivo e ricostruttivo in un case di voluminoso cordoma del sacro

AU - Ronzani, C.

AU - Bossi, E.

AU - Sallusti, M.

AU - Bazzoni, D.

AU - Garbuglia, A.

AU - Tiberio, G.

PY - 1997

Y1 - 1997

N2 - Chordomas are rare tumors which mostly are locally invasive; they are seen in the vertebral column and probably originate from embryonal rests of the chorda dorsalis. Those in the sacral region have a slow growth and can sometimes become very large and produce symptoms mainly due to local compression. The Authors discuss the case of a 67 yrs old man they have treated. After a description of the clinical features and of the protocol to follow to diagnose and evaluate this tumor, they describe the surgical treatment consisting of the resection of the sacral metameres involved and of the perisacral soft tissue as far as the rectal posterior wall. The reconstruction of the defect was obtained with a dural layer to protect the rectum and a polyester mesh. A gluteus maximus myocutaneous flap was then rotated to provide both adequate coverage to the underlying mesh and sacrum, and good quality tissue in view of the additional x-ray therapy. The patient is being followed-up and a year later there is no evidence of recurrence and the tissues are perfectly viable.

AB - Chordomas are rare tumors which mostly are locally invasive; they are seen in the vertebral column and probably originate from embryonal rests of the chorda dorsalis. Those in the sacral region have a slow growth and can sometimes become very large and produce symptoms mainly due to local compression. The Authors discuss the case of a 67 yrs old man they have treated. After a description of the clinical features and of the protocol to follow to diagnose and evaluate this tumor, they describe the surgical treatment consisting of the resection of the sacral metameres involved and of the perisacral soft tissue as far as the rectal posterior wall. The reconstruction of the defect was obtained with a dural layer to protect the rectum and a polyester mesh. A gluteus maximus myocutaneous flap was then rotated to provide both adequate coverage to the underlying mesh and sacrum, and good quality tissue in view of the additional x-ray therapy. The patient is being followed-up and a year later there is no evidence of recurrence and the tissues are perfectly viable.

UR - http://www.scopus.com/inward/record.url?scp=0030879394&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030879394&partnerID=8YFLogxK

M3 - Articolo

AN - SCOPUS:0030879394

VL - 29

SP - 73

EP - 76

JO - Rivista Italiana di Chirurgia Plastica

JF - Rivista Italiana di Chirurgia Plastica

SN - 0391-2221

IS - 1

ER -