Surgical Treatment of Sacral Neurogenic Tumor: A 10‐year Experience with 64 Cases

Sun, Wei; Ma, Xiao‐Jun; Zhang, Fan; Weiliang, Miao; Wang, Chongren; Cai, Zhengdong

doi:10.1111/os.12245

Cited by 21 publications

(20 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The principal options were a gluteal posterior flap or an anterior quadriceps flap, as the extensive vascularity of the gluteal and posterior thigh region allows for myriad use in reconstructive surgery, 9 including for sacral neurogenic tumors. 10 However, these were not viable options due to gross contamination from tumor and prior surgery in these areas. The entire length of femoral vessels, from the groin all the way to the popliteal fossa, was one of the areas that did not involve gross tumor and was not previously operated on.…”

Section: Discussionmentioning

confidence: 99%

Hip disarticulation with pedicled total leg fillet flap for recurrent fungating sarcoma

Nazemi

Bui

Oberly

et al. 2020

J Orthop Surg (Hong Kong)

View full text Add to dashboard Cite

Soft tissue sarcomas may be treated with limb-sparing procedures in the majority of cases; however, certain cases involving significant tumor spread and fungation may call for amputation. In the thigh, hip disarticulation typically involves a pedicled gluteus maximus flap or a pedicled anterior quadriceps flap. In this case report, we describe a rare situation in which the anterior flap, posterior flap, and adductor flap musculature were contaminated with tumor; therefore, a hip disarticulation was performed applying a pedicled total leg fillet flap for closure. Eighteen months after treatment, the patient continues to have no local recurrence of disease, a stable flap site, and ambulates with a walker. We present this amputation and closure method as a potentially effective modality in treating extensive oncologic disease of the proximal lower extremity.

show abstract

Section: Discussionmentioning

confidence: 99%

Hip disarticulation with pedicled total leg fillet flap for recurrent fungating sarcoma

Nazemi

Bui

Oberly

et al. 2020

J Orthop Surg (Hong Kong)

View full text Add to dashboard Cite

show abstract

“…The tendency of a tumor with noninvasive growth and thick capsule can make complete resection of presacral schwannomas possible 6) . Many authors have been described three approaches for presacral tumor resection: anterior (open or laparoscopic), posterior, or an anterior-posterior combination 14 , 17 , 19) . The different surgical approaches are dependent on the extent of tumor involvement 11 , 17 , 19) .…”

Section: Discussionmentioning

confidence: 99%

“…Many authors have been described three approaches for presacral tumor resection: anterior (open or laparoscopic), posterior, or an anterior-posterior combination 14 , 17 , 19) . The different surgical approaches are dependent on the extent of tumor involvement 11 , 17 , 19) . The previous researcher determined the surgical approach based on the classification claimed by Klimo et al 9) .…”

Section: Discussionmentioning

confidence: 99%

“…The posterior approach was considered to the cases of types I–III which lower than S1 level 19) . Sun et al 17) reported that the approach selected by S1, 2, 3 level involvement and tumor horizontal distance from the anterior edge of the sacrum. The tumor with only presacral growth was resected via an anterior approach.…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, giant presacral schwannoma has a risk for surgical approach because of its huge size and proximity to abundant vascularity of presacral region 7 , 10) . In literatures, the approach to the tumor was described in various directions 3 , 16 , 17 , 19) . We report a single stage posterior approach for total resection of a giant presacral schwannoma to prevent serious complications related to the anterior approach.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Single Stage Posterior Approach for Total Resection of Presacral Giant Schwannoma: A Technical Case Report

et al. 2017

View full text Add to dashboard Cite

The neurogenic tumor of frequent occurrence in the presacral area is a schwannoma. Giant presacral schwannoma has a risk for anterior surgical approach because of its massive size and proximity to abundant vascularity of presacral region. We report a single stage posterior approach for total resection of a giant presacral schwannoma. A 40-year-old female patient experienced left buttock pain and tingling sensation at left S1 dermatome. Magnetic resonance imaging showed that the presacral huge mass at S1–3 level with osseous extension and structural remodeling in left sacral ala. The presacral mass was ranging in maximum diameter from 8.0 to 8.6 cm. S2 foramen laminectomy was performed to expose the mass. The tumor capsule and the root were carefully dissected away. The tumor was removed while preserving the capsule by dissecting the plane between the inner wall of the capsule and the tumor. The single stage posterior approach for presacral giant schwannoma is feasible, and it can be a good surgical alternative to prevent pelvic organ or vascular damage and anterior approach related dystocia and infertility.

show abstract

Development of Pseudosacral Cyst Following Surgery for Primary Presacral Neuroendocrine Tumors With Liver Metastasis: A Case Report

Jian,

Wang,

Hao

et al. 2024

Clinical Case Reports

View full text Add to dashboard Cite

Presacral neuroendocrine tumor (PSNET) is a rare disease that currently lacks a standardized treatment approach. In this report, we present a unique case of PSNET with liver metastasis that progressed into a pseudosacral cyst following complete surgical resection and sulfatinib treatment with radiofrequency ablation. Before undergoing surgical treatment for presacral neuroendocrinology, it is important to consider the potential risks of poor healing of the presacral incision and formation of pseudocysts. These complications may be caused by various factors, including the procedure itself and the use of targeted drugs.

show abstract

Surgical Treatment of Sacral Neurogenic Tumor: A 10‐year Experience with 64 Cases

Cited by 21 publications

References 32 publications

Hip disarticulation with pedicled total leg fillet flap for recurrent fungating sarcoma

Hip disarticulation with pedicled total leg fillet flap for recurrent fungating sarcoma

Single Stage Posterior Approach for Total Resection of Presacral Giant Schwannoma: A Technical Case Report

Development of Pseudosacral Cyst Following Surgery for Primary Presacral Neuroendocrine Tumors With Liver Metastasis: A Case Report

Contact Info

Product

Resources

About