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題 名 | Sacrococcygeal Chordoma=薦尾椎部脊索瘤 |
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作 者 | 張簡俊榮; 許志弘; 陳進勛; 王正儀; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 29:2 民85.03-04 |
頁 次 | 頁152-156 |
分類號 | 416.245 |
關鍵詞 | 薦尾椎部脊索瘤; Sacrococcygeal chordoma; Fetal notochord; |
語 文 | 英文(English) |
中文摘要 | 脊索瘤為一少見,原發於胚胎脊索遺跡,成長緩慢的惡性腫瘤。由於腫 瘤的特性加上解剖位置,使得完全手術的切除極為困難。林口長庚醫院大腸直腸 外科自1978年至1993年共有7例薦尾椎部脊索瘤的病例,男性5例女性2例,年齡 從43歲到6S歲不等。疼痛(包括局部,會陰部或坐骨神經性)為最常見的臨床表徵。 所有的薦尾椎部脊索瘤都可以肛明指診診斷,再輔助以各類X光的檢查。除了一 病例僅從腹部手術外.其化6病例皆以腹部Z薦部合併進行手術。雖然此根除性切 除,甚至加上術後輔助性的放射線治療,我們所有的病例都產生局部復發,追蹤 至今(23個月至38個月),仍有4例病患存活。重覆的切除加上放射線治療仍是此類 腫瘤治療的選擇。 |
英文摘要 | Sacrococcygeal chordoma is a rare disease indicated by a low-grade malignant tumor arising from the remains of the fetal notochord. The tumoris characterised by slow growth with invasion and compression of adjacentstructures. Because of its location, it is nearly impossible to extirpate completely. Seven cases of sacrococcygeal chordoma were treated at ChangGung Memorial Hospital, Division of Colon and Rectal Surgery. Five of theseven patients were male, and two were female. Their ages varied from 43to 69 years old. Local or radicular pain were the common symptoms, of 0.5to 36 months duration. All of the chordomas were detectable by digitalexamination, aided by other radiographic study. As for operative methods,the abdominal/sacral approach was used in six cases; and the abdominalapproach was chosen in one case. All the patients experienced post-operative complications. Complete resection of the tumor was difficult. Althoughradiotherapy was also used, recurrence still developed in each case. Only 4of 7 patients alived, with recurrence, from 23 to 38 months after resection.Repeated excision of a recurring tumor, in conjunction with irradiation,remains the treatment-of-choice. |
本系統中英文摘要資訊取自各篇刊載內容。