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 language | Italian |
|---|---|
| Pages (from-to) | 73-76 |
| Number of pages | 4 |
| Journal | Rivista Italiana di Chirurgia Plastica |
| Volume | 29 |
| Issue number | 1 |
| Publication status | Published - 1997 |
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ASJC Scopus subject areas
- Surgery
Cite this
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 journal › Article
}
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.
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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 -