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The Surgical Approach Combined With Minimally Invasive Surgery for Sacral Chordoma
Mauricio Garcia Mora1, Ivan Fernando Mariño2, Leidy Juliana Puerto Horta1
1Breast and Soft Tissue Surgery, Instituto Nacional de Cancerología, Bogotá D.C., COL.
Cureus
|November 17, 2021
Summary
This case study details a sacral chordoma, a rare malignant tumor, successfully treated with minimally invasive surgery. The combined anterior and posterior surgical approach achieved complete resection, highlighting a viable treatment option for this challenging condition.
Area of Science:
- Oncology
- Surgical Oncology
- Pathology
Background:
- Sacral chordomas are rare, malignant, and locally aggressive tumors.
- They most frequently occur in the sacrococcygeal region but can present throughout the spine.
- Complete surgical resection is the primary treatment modality.
Observation:
- A 44-year-old woman presented with a presacral mass displacing pelvic organs.
- Initial biopsy suggested a soft-tissue myoepithelioma-like tumor.
- The mass was initially presumed to be a complex adnexal mass.
Findings:
- A combined anterior transabdominal laparoscopic and posterior surgical approach was utilized.
- Complete tumor resection was achieved.
- Postoperative recovery was uncomplicated, demonstrating the benefits of minimally invasive surgery.
Implications:
- This case highlights the successful application of a combined minimally invasive surgical approach for sacral chordoma.
- Accurate preoperative diagnosis can be challenging, underscoring the importance of final pathology.
- Minimally invasive techniques offer a promising avenue for managing complex sacral tumors with reduced morbidity.
