Surgical treatment of lumbar chordoma
Objective. Аnalysis of surgical procedure, results of surgical and combined treatment of lumbar chordoma.
Маterials and methods. In 28 patients, suffering lumbar chordoma, the disease symptoms and their dynamics, value of the neurovisualization method, peculiarities of pathohistological picture, surgical procedure, еfficacy of radiation therapy and late results of treatment were analyzed.
Results. Among clinical signs of lumbar chordoma the pain syndrome have dominated. Median duration of anamnesis have constituted approximately one year. Surgical resection of the tumor via posterior approach was done in 18 patients, and via a combined one – in 9 patients. Excision of the tumors was estimated as a radical in 21 patients, and as a partial one – in 7 patients. Postoperatively in all the patients a course of radiation therapy, using linear accelerators, was conducted. Through five years of follow–up in 26 patients recurrence of chordoma have occurred. Reoperations were performed in 22 patients.
Conclusion. Treatment of chordomas needs complex approach. Conduction of radical surgical intervention, what is not possible in all the patients, still constitutes the method of choice.
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