Ming Lu1,2, Zhongxin Zhou3, Zixiong Lei1,2, Haomiao Li4,5, Stefano Boriani6. 1. Department of Orthopedic, The Third Affiliated Hospital of Southern Medical University, Guangzhou, 510630, China. 2. Academy of Orthopaedics, Guangdong Province, Guangzhou, 510630, China. 3. Department of Interventional Vascular Surgery, The Third Affiliated Hospital of Southern Medical University, Guangzhou, 510630, China. 4. Department of Orthopedic, The Third Affiliated Hospital of Southern Medical University, Guangzhou, 510630, China. lihaomiao1977@hotmail.com. 5. Academy of Orthopaedics, Guangdong Province, Guangzhou, 510630, China. lihaomiao1977@hotmail.com. 6. GSpine4 Spine Surgery Unit, IRCCS Galeazzi Orthopaedic Institute, Milan, Italy.
Abstract
PURPOSE: En bloc resection is the treatment of choice of myxoid chondrosarcoma. These tumors can produce huge masses. Anatomical constraints limit the possibility to perform en bloc resection in the spine. METHODS: A very huge myxoid chondrosarcoma (14.2 × 10.8 × 11.4 cm) arising from T2 to T5 and invading the whole higher left pleural cavity was observed. Surgical planning according to WBB staging system was performed. RESULTS: The tumor was successfully submitted to en bloc resection achieving a tumor-free margin as demonstrated by the pathologist's report. CONCLUSIONS: A careful planning and a multidisciplinary collaboration make possible to perform en bloc resection even in apparently impossible cases.
PURPOSE: En bloc resection is the treatment of choice of myxoid chondrosarcoma. These tumors can produce huge masses. Anatomical constraints limit the possibility to perform en bloc resection in the spine. METHODS: A very huge myxoid chondrosarcoma (14.2 × 10.8 × 11.4 cm) arising from T2 to T5 and invading the whole higher left pleural cavity was observed. Surgical planning according to WBB staging system was performed. RESULTS: The tumor was successfully submitted to en bloc resection achieving a tumor-free margin as demonstrated by the pathologist's report. CONCLUSIONS: A careful planning and a multidisciplinary collaboration make possible to perform en bloc resection even in apparently impossible cases.
Entities:
Keywords:
En bloc spondylectomy; Multidisciplinary collaboration; Spinal myxoid chondrosarcoma; WBB staging system
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