Surgical Treatment of Neuroepithelial Tumours of the Central Surface of the Sacrum – Case Reports

Czech version

Authors: P. Vaněk ¹; D. Erhart ²; T. Belšan ³; P. Hrabal ⁴; V. Beneš ¹
Authors‘ workplace: ÚVN Praha Neurochirurgická klinika 1. LF UK v Praze ¹; ÚVN Praha Chirurgická klinika 2. LF UK v Praze ²; ÚVN Praha Radiodiagnostické oddělení ³; ÚVN Praha Patologicko-anatomické oddělení ⁴
Published in: Cesk Slov Neurol N 2010; 73/106(3): 303-307
Category: Case Report

Overview

The authors present case reports of the course of therapy for two patients who underwent surgery for extensive neuroepithelial tumours located on the ventral surface of the sacrum. In the first case‑ report, resection of the tumour with an anterior transperitoneal approach is described, and in the second case report a tumour resection with a posterior trans‑sacral approach was referred. The discussion that follows centres around the clinical manifestation of the disease resulting from presacral expansions. Differential diagnosis after detection of the expansion of the sacrum and radiological findings are mentioned. Surgical strategy and treatment after surgery, together with follow‑up strategy, are discussed.

Key words:
neurofibroma – ganglioneuroma – presacral tumour – transperitoneal approach – transsacral approach

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