Operational techniques and combination treatment for the recurrent sacro-coccygeal tumor.
This article presents 6 cases of recurrent sacro-coccygeal tumor with analysis of the causes of recurrence, operational technique for second-time operation and concomitant treatment. It is suggested that combined abdominal and sacro-coccygeal approaches be used to excise maximal mass of the tumor, surrounding affected tissues be curetted out and the space be filled up with adriamycin-bone-cement to destroy remaining tumor cells and to strengthen the stability of pelvis. Besides, the patients should be subject to supersegregation radiotherapy in order to minimize the possibility of recurrence.
Xia
R Y
RY
Department of Orthopaedics, Tongji Hospital, Tongji Medical University, Wuhan.
Luo
Y X
YX
Wang
T P
TP
D000293:Adolescent; D000328:Adult; D001843:Bone Cements / Q000627:therapeutic use; D002812:Chondroma / Q000601:surgery / Q000628:therapy*; D003050:Coccyx; D003131:Combined Modality Therapy; D004317:Doxorubicin / Q000008:administration & dosage; D018212:Giant Cell Tumor of Bone / Q000601:surgery / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000601:surgery / Q000628:therapy*; D010388:Pelvis / Q000601:surgery; D018714:Radiotherapy, Adjuvant; D012447:Sacrum; D013125:Spinal Neoplasms / Q000601:surgery / Q000628:therapy*
D001843:Bone Cements; D004317:Doxorubicin