![](/images/graphics-bg.png)
Modified Kraske Procedure with Mid-Sacrectomy and Coccygectomy for En Bloc Excision of Sacral Giant Cell Tumors
Joint Authors
Gonçalves, Vítor M.
Cunha e Sá, Manuel
Lima, Álvaro
Gíria, João
Carvalho, Nuno
Parreira, José
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-10-16
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
Sacral giant cell tumors are rare neoplasms, histologically benign but potentially very aggressive due to the difficulty in achieving a complete resection, their high recurrence rate, and metastization capability.
Although many treatment options have been proposed, en bloc excision with tumor-free margins seems to be the most effective, being associated with long term tumor control, improved outcome, and potential cure.
An exemplifying case of a 29-year-old female with progressive complaints of pain and paresthesias in the sacral and perianal regions, constipation, and weight loss for 6 months is presented.
The surgical technique for en bloc excision of a large sacral giant cell tumor through a modified Kraske procedure with mid-sacrectomy and coccygectomy is described.
Complete resection with wide tumor-free margins was achieved.
At 5 years of follow-up the patient is neurologically intact, without evidence of local recurrence on imaging studies.
A multidisciplinary surgical procedure is mandatory to completely remove sacral tumors.
In the particular case of giant cell tumors, it allows minimizing local recurrence preserving neurovascular function, through a single dorsal and definitive approach.
American Psychological Association (APA)
Gonçalves, Vítor M.& Lima, Álvaro& Gíria, João& Carvalho, Nuno& Parreira, José& Cunha e Sá, Manuel. 2014. Modified Kraske Procedure with Mid-Sacrectomy and Coccygectomy for En Bloc Excision of Sacral Giant Cell Tumors. Case Reports in Surgery،Vol. 2014, no. 2014, pp.1-10.
https://search.emarefa.net/detail/BIM-1034991
Modern Language Association (MLA)
Gonçalves, Vítor M.…[et al.]. Modified Kraske Procedure with Mid-Sacrectomy and Coccygectomy for En Bloc Excision of Sacral Giant Cell Tumors. Case Reports in Surgery No. 2014 (2014), pp.1-10.
https://search.emarefa.net/detail/BIM-1034991
American Medical Association (AMA)
Gonçalves, Vítor M.& Lima, Álvaro& Gíria, João& Carvalho, Nuno& Parreira, José& Cunha e Sá, Manuel. Modified Kraske Procedure with Mid-Sacrectomy and Coccygectomy for En Bloc Excision of Sacral Giant Cell Tumors. Case Reports in Surgery. 2014. Vol. 2014, no. 2014, pp.1-10.
https://search.emarefa.net/detail/BIM-1034991
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1034991