Sacral Amputation for Metastatic Lesion in Sacrum: 2 Cases Report.
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This paper discribes two cases of metastatic sacral malignancy causing severe sacralgia, which were surgically treated with a satisfactory result.Case 1. 67-year-old female suffered from the gait disturbance with a severe buttock pain. CT and MRI demonstrated an osteoclastic tumorous lesion in the sacrum. The tumor was excised with a part of the sacrum. Histologically, the tumor was metastasis of thyroid cancer. Three years after surgery, she has almost normal ADL with a low dose of analgesics.Case 2. 63-year-old male, who had undergone surgery for rectal cancer 3 years ago, complained of severe sacralgia. In this case also, CT and MRI demonstrated an osteoclastic tumor in the sacrum. With the suggestion of oncologists, the tumor was resected with a distal part of the sacrum. Histological diagnosis was metastasis of rectal cancer. One and a half years after surgery, he has almost normal walking ability without a pain.As there is no definite strategy for such a metastatic sacral tumor as causing severe sacralgia, the resection of the tumor and a part of the sacrum will be indicated when the remaining life expectancy is considered sufficiently long from the oncologic point of view.
- 中国・四国整形外科学会の論文
中国・四国整形外科学会 | 論文
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