Giant Cell Tumor of the Sacrum

Surgery for recurrent rectal cancer: higher and wider?

“…High sacral resection was first successfully described by Bowers et al. [14], followed by Heys et al. [15] for the management of a giant cell tumour invading the proximal sacrum up to the level of S1.…”

Oncologic and Functional Outcome Following Sacrectomy for Sacral Chordoma

“…Both lesions were surgically excised, and the patient received radiation therapy (6300 cGy). coma, teratoma, recurrent anorectal carcinoma, giant-cell tumor, and giant sacral schwannoma 1,5,7,9,[11][12][13]18,22 . These tumors present a therapeutic challenge because most malignant and benign aggressive tumors require wide local excision for favorable results; however, ensuring adequate margins may come at the expense of normal adjacent neurovascular structures and associated function.…”

“…The large size, the proximity to neurovascular structures, and the complex anatomy of the true pelvis make complete or wide excision difficult. Sacrectomy has been reported as a form of surgical treatment for malignant and benign primary tumors and metastatic tumors from distant sites 1,[4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] . Surgical approaches for sacrectomy include a combined sequential anterior and posterior approach, a combined simultaneous anterior and posterior approach, a posterior approach alone, and combined extended ilioinguinal and posterior approaches [9][10][11][12]15,17 .…”

Sacrococcygeal neoplastic lesions

“…[4,5] The first successful resection of a sacrococcygeal tumor was made with combined anteroposterior approach in 1945 by Bowers after an initial posterior unsuccessful approach for a presumed chordoma, because of extensive vascular collateralization. [6] The sacrococcygeal region, also referred as "presacral region" or "retrorectal space," is an anatomic zone occupied by connective tissue, blood, nerves and lymphatic vessels. This space is defined anteriorly by the fascia propria of the rectum and posteriorly by the presacral fascia overlying the sacrum and coccyx.…”