Recidiva of sacrococcygeal chordoma. Multidisciplinary collaboration
Nogués-Pevidal, A. ; Yuste-Benavente, V. ; Pellejero, J.C. ; Viñas, J.A. ; Duque-Mallén, M.V. (Universidad de Zaragoza)
Resumen: Los cordomas son tumores derivados de los remanentes embrionarios de la notocorda. Son localmente invasivos y en estadios localizados la resección completa es el tratamiento de elección. Presentamos el caso de un varón de 77 años con recidiva de cordoma sacrococcígeo, intervenido por un grupo multidisciplinario formado por cirujanos coloproctólogos, plásticos y neurocirujanos, obteniendo resección en bloque y márgenes negativos. A pesar de que recidivan localmente un 66-75% a los 5 años, la mayoría de los pacientes pueden aumentar su supervivencia si se obtienen márgenes libres. La cirugía debe conseguir una exéresis R0 y minimizar el riesgo de lesión rectal.
Chordomas are tumors arising from the embryonic remnants of the notochord. They are locally invasive and in localized stages, complete resection is the treatment of choice. We present the case of a 77-year-old man with recurrent sacrococcygeal chordoma, he was operated by a multidisciplinary group including colorectal-, plastic- and neurosurgeons, obtaining complete en bloc resection with tumor-free margins. Even though 66-75% recur locally in 5 years, most of the patients can increase their survival if margins are tumor-free. The surgery must achieve the R0 exeresis minimizing the risk of rectal injury.
Idioma: Español
DOI: 10.24875/CIRU.20001368
Año: 2020
Publicado en: Cirugia y Cirujanos 88, S1 (2020), 43-47
ISSN: 0009-7411
Factor impacto JCR: 0.361 (2020)
Categ. JCR: SURGERY rank: 207 / 212 = 0.976 (2020) - Q4 - T3
Factor impacto SCIMAGO: 0.139 - Surgery (Q4)
Tipo y forma: Article (Published version)
Área (Departamento): Área Cirugía (Dpto. Cirugía)
You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. You may not use the material for commercial purposes. If you remix, transform, or build upon the material, you may not distribute the modified material.
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Chordomas are tumors arising from the embryonic remnants of the notochord. They are locally invasive and in localized stages, complete resection is the treatment of choice. We present the case of a 77-year-old man with recurrent sacrococcygeal chordoma, he was operated by a multidisciplinary group including colorectal-, plastic- and neurosurgeons, obtaining complete en bloc resection with tumor-free margins. Even though 66-75% recur locally in 5 years, most of the patients can increase their survival if margins are tumor-free. The surgery must achieve the R0 exeresis minimizing the risk of rectal injury.
Idioma: Español
DOI: 10.24875/CIRU.20001368
Año: 2020
Publicado en: Cirugia y Cirujanos 88, S1 (2020), 43-47
ISSN: 0009-7411
Factor impacto JCR: 0.361 (2020)
Categ. JCR: SURGERY rank: 207 / 212 = 0.976 (2020) - Q4 - T3
Factor impacto SCIMAGO: 0.139 - Surgery (Q4)
Tipo y forma: Article (Published version)
Área (Departamento): Área Cirugía (Dpto. Cirugía)
You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. You may not use the material for commercial purposes. If you remix, transform, or build upon the material, you may not distribute the modified material. Exportado de SIDERAL (2021-09-02-10:35:14)
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Record created 2020-11-17, last modified 2021-09-02