Neurology Community
Spinal Tumor - Sacrum Resection
About This Community:

This forum is for questions and support regarding neurology issues such as: Alzheimer's Disease, ALS, Autism, Brain Cancer, Cerebral Palsy, Chronic Pain, Epilepsy, Headaches, MS, Neuralgia, Neuropathy, Parkinson's Disease, RSD, Sleep Disorders, Stroke, Traumatic Brain Injury.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

Spinal Tumor - Sacrum Resection

I'm awaiting the biopsy results, but both my CT scan and MRI point to me having a tumor on my sacrum (covering most of S1 and S2). The belief is that it is a Chordoma or a Giant Cell Tumor. It is roughly 6 x 7 cms.

Several Questions"
* What nerves are most likely to be damaged if my S1 and S2 are removed?
* Could radiation treatment cause greater damage than a poorly done surgical procedure?
* Can anyone suggest a hospital/medical team that has a lot of experience performing these sacral resections?
* Could Cyberknife, freezing the tumor or one of these other newer approaches be a solid alternative?

I'm hoping to schedule this treatment within the next 2-3 weeks.

Thanks.

Related Discussions
Avatar_dr_f_tn
Hi there. For confirming the diagnosis, a staged biopsy procedure is appropriate and will reveal large number of osteoclastic giant cells, admixed with mononuclear cells the standard treatment for GCT is curettage and placement of a bone graft or bone cement. Recurrence rates are high as 50% when intralesional resection is not carefully performed. Current choice of therapy by surgeons is aggressive curettage, followed by adjuvant phenol, hydrogen peroxide, liquid nitrogen, or argon beam therapy. Cementation may serve as a local adjuvant while restoring mechanical integrity to a compromised region facilitating spinal and pelvic fixation. It is important to use adjuvants carefully in sacrum, to reduce inflicting trauma on sacral nerve roots. Nerve root monitoring is appropriate and required. sacrectomy is valuable to effect local tumor control and overall patient survival, despite potential complications and neurological and sexual dysfunction. Preoperative embolisation may be undertaken since these are vascular tumors. Your surgeon is the best judge in the choice of surgery. Hope this helps. Take care.

Blank
Post a Comment
To
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
Neurology Community Resources
RSS Expert Activity
242532_tn?1269553979
Blank
Control Emotional Eating with this ...
Sep 04 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Emotional Eating Control: How to St...
Aug 28 by Roger Gould, M.D.Blank
233488_tn?1310696703
Blank
New Cannabis Article from NORTH Mag...
Jul 20 by John C Hagan III, MD, FACS, FAAOBlank
Top Neurology Answerers
338416_tn?1260996698
Blank
jensequitur
Fort Worth, TX
620923_tn?1405964489
Blank
selmaS
Allentown, PA
352007_tn?1372861481
Blank
LisaJF
10389859_tn?1409925468
Blank
Foggy2
1780921_tn?1384615710
Blank
flipper336
Chandler, AZ
Avatar_f_tn
Blank
Invida
MI