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Epidemiology of sacral tumors. review

Abstract

Sacral tumors are very rare and consists about 1–7% of all spine tumors. Most of sacral tumors are metastatic tumors, the most often primary malignant tumor of the sacrum is chordoma. Treatment of patient with sacral tumors is still a difficult problem. Most of patients receive treatment from nononcological diseases and referred in specialized hospitals with hugе tumor. The sacrum has a complex anatomy due to its close relationship with major vessels, sacroiliac joints, sacral nerve roots and viscera like the bowel and rectum. This makes it hard to achieve wide surgical margins during surgery and increases perioperative morbidity and mortality. The understanding of tumor behavior will help to develop optimal treatment.

About the Authors

M. D. Aliev
FGBU N.N. Blokhin Russian Cancer Research Center
Russian Federation

Moscow



E. R. Musaev
FGBU N.N. Blokhin Russian Cancer Research Center
Russian Federation

Moscow



References

1. Abernathey C.D., Onofrio B.M., Scheithauer B., Pairolero P.C., Shives T.C. Surgical management of giant sacral schwannomas. J. Neurosurg. 1986, v. 65 (3), p. 286-295.

2. Althausen P.L., Schneider P.D., Bold R.J. et al. Multimodality management of a giant cell tumor arising in the proximal sacrum: case report. Spine. 2002, v. 27, p. 361-365.

3. Amendola B.E., Amendola M.A., Oliver E. et al. Chordoma: role of radiation therapy. Radiology. 1986, v. 158, p. 839-843.

4. Anson K.M., Byrne P.O., Robertson I.D. et al. Radical excision of sacrococcygeal tumours. Br. J. Surg. 1994, v. 81, p. 460-461.

5. Araki Y., Tsukaguchi I., Ishida T. et al. MRI of symptomatic sacral perineural cysts. Radiat. Med. 1992, v. 10, p. 250-252.

6. Azzarelli A., Quagliuolo V., Cerasoii S. et al. Chordoma: natur al history and treatment results in 33 cases. T. Surg. Oncol. 1988, v. 37, p. 185-191.

7. Bass J.C., Korobkin M., Francis I.R., Ellis J.H., Cohan R.H. Retroperitoneal plexiform neurofibromas: CT findings. AJR Am. J. Roentgenol. 1994, v. 163, p. 617-620.

8. Bergh P., Kindblom L.G., Gunterberg B. et al. Prognostic factors in chordoma of the sacrum and mobile spine: a study of 39 pa tients. Cancer. 2000, v. 88, p. 2122-2134.

9. Bjornsson J., Wold L., Ebersold M., Laws E. Chordoma of the mobile spine. A clinicopathologic analysis of 40 patients. Cancer. 1993, v. 71, p. 735-740.

10. Boriani S., Chevalley F., Weinstein J. et al. Chordoma of the spine above the sacrum. Treatment and outcome of 21 cases. Spine. 1996, v. 21, p. 1569-1577.

11. Camins M.B., Oppenheim J.S., Perrin R.G. Tumors of the vertebral axis: benign, primary malignant, and metastatic tumors. In: Youmans J.R. (ed.). Neurological surgery, v. 4. Saunders, Philadelphia. 1996, p. 3134-3167.

12. Capanna R., Ayala A., Bertoni F. et al. Sacral osteoid osteoma and osteoblastoma: a report of 13 cases. Arch. Orthop. Trauma Surg. 1986, v. 105, p. 205-210.

13. Carpentier A., Polivka M., Blanquet A., Lot G., George B. Suboccipital and cervical chordomas: the value of aggressive treatment at first presentation of the disease. J. Neurosurg. 2002, v. 97, p. 1070-1077.

14. Casali P.G., Messina A., Stacchiotti S., Tamborini E., Crippa F., Gronchi A. et al. Imatinib mesylate in chordoma. Cancer. 2004, v. 101, p. 2086-2097.

15. Catton C., O’SulHvan B., Bell R. et al. Chordoma: long-term fol low-up after radical photon irradiation. Radiother. Oncol. 1996, v. 41, p. 67-72.

16. Cerullo G., Marrelli D., Rampone B., Miracco C., Caruso S., Di Martino M. et al. Presacral ganglioneuroma: a case report andreview of literature. World J. Gastroenterol. 2007, v. 13, p. 2129-2131.

17. Chambers P.W., Schwinn C.P. Chordoma. A clinicopathologic study of metastasis. Am. J. Clin. Pathol. 1979, v. 72, p. 765-776.

18. Chandawarkar R.Y. Sacrococcygeal chordoma: review of 50 consecutive patients. World J. Surg. 1996, v. 20, p. 717-719.

19. Cheng E.Y., Ozerdemoglu R.A., Transfeldt Е.Е. et al. Lumbosacral chordoma. Prognostic factors and treatment. Spine. 1999, v. 24, p. 1639-1645.

20. Cummings B.J., Hudson O.L., Bush R.S. Chordoma: the results of megavoltage radiation therapy. Int. J. Radiat. Oncol. Bio. Phys. 1983, v. 9, p. 633-642.

21. Dick H.M., Bigliani L.U., Michelsen W.J. et al. Adjuvant arterial embolization in the treatment of benign primary bone tumors in children. Clin. Orthop. 1979, v. 139, p. 133-141.

22. Disler D.G., Miklic D. Imaging findings in tumors of the sacrum. AJR. 1999, v. 173, p. 1699-1706.

23. Eckhardt J.J., Grogan Th.J. Giant cell tumor of bone. Clin. Orthop. 1986, v. 204, p. 45-58.

24. Evans R.G., Nesbit M.E., Gehan E.A., Garnsey L.A., Burgert O.Jr, Vietti T.J. et al: Multimodal therapy for the management of localized Ewing’s sarcoma of pelvic and sacral bones: a report from the second intergroup study. J. Clin. Oncol. 1991, v. 9, p. 1173-1180.

25. Feldenzer J.A., McGauley J.L., McGillicuddy J.E. Sacral and presacral tumors: problems in diagnosis and management. Neurosurgery. 1989, v. 25, p. 884-891.

26. Feldmann I. Kleinere Mitteilugen chordoma ossis Sacri. Beitr. Pathol. Anat. Allg. Pathol. 1910, p. 48630-48634.

27. Fleming G.F., Heimann P.S., Stephens J.K., Simon M.A., Ferguson M.K., Benjamin R.S. et al. Dedifferentiated chordoma. Response to aggressive chemotherapy in two cases. Cancer. 1993, v. 72, p. 714-718.

28. Fourney D.R., Fuller G.N., Gokaslan Z.L. Intraspinal extradural myxopapillary ependymoma of the sacrum arising from the filum terminale externa. Case Report Journal of neurosurgery. V. 93 (2 Suppl), p. 322-326.

29. Fourney D., Gokaslan Z. Current management of sacral chordoma Neurosurg Focus. 2003, v. 15 (2), Article 9.

30. Fourney D.R., Gokaslan Z.L. Sacral tumors: primary and metastatic, in Dickman C.A., Fehlings M.G., Gokaslan Z.L. (eds): Spinal Cord and Spinal Column Tumors: Principles and Practice. New York: Thieme. 2006, p. 404-419.

31. French B. Midline fusion defects and defects of formation. In: J.R. Youmans (ed.). Neurological Surgery. 3rd edn., W.B. Saunders, Philadelphia. 1990, p. 1081-1235.

32. Fuchs B., Yaszemski M., Sim F. Combined Posterior Pelvis and Lumbar Spine Resection for Sarcoma. Clinical Orthopaedics & Related Research. 2002, v. 397, p. 12-18.

33. Fukunaga M., Nikaido T., Shimoda T., Ushigoma S., Nakamori K. A flow cytometric DNA analysis of giant cell tumors of bone including two cases with malignant transformation. Cancer. 1992, v. 70, p. 1886-1894.

34. Fuller D.B., Bloom J.G. Radiotherapy for chordoma. Int. J. Radiat. Oncol. Biol. Phys. 1988, v. 15, p. 331-339.

35. Ginsberg L.E., Williams D.W., Stanton C. Intrasacral myxopapillary ependymoma. Neuroradiology. 1994, v. 36, p. 56-58.

36. Gokaslan Z.L., Romsdahl M.M., Kroll S.S., Walsh G.L., Gillis T.A., Wildrick D.M. et al: Total sacrectomy and Galveston L-rod reconstruction for malignant neoplasms. Technical note. J. Neurosurg. 1997, v. 87, p. 781-787.

37. Grubb M.R., Currier B.L., Pritchard D.J., Ebersold M.J. Primary Ewing’s sarcoma of the spine. Spine. 1994, v. 19, p. 309-313.

38. Gunterberg B. Effects of major resection of the sacrum. Clinical studies on urogenital and anorectal function: a biomechanical study on pelvic strength. Acta Orthop. Scand. Suppl. 1976, v. 162, p. 1-38.

39. Healey J.H., Lane J.M. Chordoma: a critical review of diagnosis and treatment. Orthop. Clin. North Am. 1989, v. 20, p. 417-426.

40. Igaki H., Tokuuye K., Okumura T., Sugahara S., Kagei K., Hata M. et al. Clinical results of proton beam therapy for skull base chordoma. Int. J. Radiat. Oncol. Biol. Phys. 2004, v. 60, p. 1120-1126.

41. Ishii K., Chiba K., Watanabe M. et al. Local recurrence after S2-3 sacrectomy in sacral chordoma. Report of four cases. J. Neurosurg. (Spine 1). 2002, v. 97, p. 98-101.

42. Kaiser Т.Е., Pritchard D.J., Unni K.K. Clinicopathologic study of sacrococcygeal chordoma. Cancer. 1984, v. 53, p. 2574-2578.

43. Keisch M.E., Garcia D.M., Shibua R.B. Retrospective longterm follow-up analysis in 21 patients with chordoma of various sites treated at a single institution. J. Neurosurg. 1991, v. 75, p. 374-377.

44. Lackman R.D., Khoury L.D., Esmail A. et al: The treatment of sacral giant-cell tumours by serial arterial embolisation. J. Bone Joint. Surg. Br. 2002, v. 84, p. 873-877.

45. Leeson M.C., Hite M. Ganglioneuroma of the sacrum. Clin. Orthop. Relat. Res. 1989, p. 102-105.

46. Lin P.P., Guzel V.B., Moura M.F. et al. Long-term follow-up of patients with giant cell tumor of the sacrum treated with selective arterial embolization. Cancer. 2002, v. 95, p. 1317-1325.

47. Luschka H. Die Altersveranderungen der Zwischen-wirbelknorpel. Arch. Pathol Anat Physiol klin Med. (Virchows arch. [A] 1856). V. 13d, p. 311-327.

48. Marcove R.C., S heth D.S., Brien E.W., Huvos A.G., Healey J.H. Conservative surgery for giant-cell tumors of the sacrum: the role of cryosurgery as a supplement to curettage and partial excision. Cancer. 1994, v. 74, p. 1253-1260.

49. Mirra J.M., Picci P., Gold R.H. Bone Tumors: Clinical, Radiologic, and Pathologic Correlations. Philadelphia: Lea and Febiger. 1989 (7-70).

50. Misra D., Pritchard J., Drake D., Kiely E. Markedly improved survival in malignant sacrococcygeal teratomas-16 years experience. Eur. J. Pediatr. Surg. 1997, v. 7, p. 152-155.

51. Morantz R.A. Ectopic ependymoma of the sacrococcygeal region. In: Doty J.R., Rengachary S.S., eds. Surgical disorders of the sacrum. New York, NY: Thieme Medical. 1992, p. 177-179.

52. Muller H. Ueber das Vorkommen von Resten der Chorda dorsalis bei Menschen nach der Geburt und uber ihr Verhaltniss zu den Gallertgeschwulsten am Clivus. Ztschr. Rationalle Med. 1858, v. 2, p. 202-227.

53. Nojima T., Takeda N., Matsuno T., Inoue K., Nagashima K. Case report 869. Benign metastasizing giant cell tumor of bone. Skeletal. Radiol. 1994, v. 23 (7), p. 583-585.

54. Oren M. et al. Anterior sacral meningocele: report of five cases and review of the literature. Dis. Colon. Rectum. 1977, v. 20, p. 492-504.

55. Osborn A.G. Miscellaneous tumors, cysts, and metastases. In: Diagnostic Neuroradiology. St. Louis: Mosby. 1994, p. 631-635.

56. Ozaki T., Halm H., Hillmann A. et al. Aneurysmal bone cysts of the spine. Arch. Orthop. Trauma Surg. 1999, v. 119, p. 159-162.

57. Ozaki T., Liljenqvist U., Halm H. et al. Giant cell tumor of the spine. Clin. Orthop. 2002, v. 401, p. 194-201.

58. Ozdemir M.H., Gurkan I., Yildiz Y., Yilmaz C., Saglik Y. Surgical treatment of malignant tumours of the sacrum. Eur. J. Surg. Oncol. 1999, v. 25, p. 44-49.

59. Papagelopoulos P.J., Choudhrury S.N., Frassica F.J. et al. Treatment of aneurysmal bone cysts of the pelvis and sacrum. J. Bone Joint Surg. Am. 2001, v. 83, p. 1674-1681.

60. Pilepich M.V., Vietti T.J., Nesbit M.E. et al. Ewing’s sarcoma of the vertebral column. Int. J. Radiat. Oncol. Biol. Phys. 1981, v. 7, p. 27-31.

61. Rescorla F.J., Sawin R.S., Coran A.G. et al. Long-term outcome for infants and children with sacrococcygeal teratoma: a report from the Childrens Cancer Group. J. Pediatr. Surg. 1998, v. 33, p. 171-176.

62. Ribbert H. Geschwulstlehre fur Arzte und Studierende. Bonn: F. Cohen. 1904: 151.

63. Rich Т.А., Schiller A., Suit H.D. et al. Clinical and pathologic review of 48 cases of chordoma. Cancer. 1985, v. 56, p. 182-187.

64. Samson I.R., Springfield D.S., Suit H.D. et al. Operative treatment of sacrococcygeal chordoma. A review of twenty-one cases. J. Bone Joint. Surg. Am. 1993, v. 75, p. 1476-1484.

65. Sar C., Eralp L. Surgical treatment of primary tumors of the sacrum. Arch. Orthop. Trauma Surg. 2002, v. 122, p. 148-155.

66. Savini R. Surgical treatment of giant-cell tumor of the spine. The experience at the Istituto Ortopedico Rizzoli. J. Bone Joint. Surg. Am. 1983, v. 65, p. 1283.

67. Schropp K.P., Lobe T.E., Rao B. Sacrococcygeal teratoma: the experience of four decades. J. Pediatr. Surg. 1992, v. 27, p. 1075-1079.

68. Sharafuddin M.J., Haddad F.S., Hitchon P.W. et al. Treatment options in primary Ewing’s sarcoma of the spine: report of seven cases and review of the literature. Neurosurgery. 1992, v. 30, p. 610-618.

69. Shives T.C., Dahlin D.C., Sim F.H., Pritchard D.J., Earle J.D. Osteosarcoma of the spine. J. Bone Joint. Surg. Am. 1986, v. 68, p. 660-668.

70. Shives T.C., McLeod R.A., Unni K.K., Schray M.F. Chondrosarcoma of the spine. J. Bone Joint. Surg. Am. 1989, v. 71, p. 1158-1165.

71. Sim F., Frassica F., Wold L., McLeod R. Chondrosarcoma of the spine. Mayo clinic expierence. In: Sundaresan N., Shmidek H.H., eds. Tumors of the Spine. Philadelphia, WB Saunders. 1990, p. 155-162.

72. Smith J., Ludwig R.L., Marcove R.C. Sacrococcygeal chordoma. A clinicoradiological study of 60 patients. Skeletal Radiol. 1987, v. 16, p. 37-44.

73. Spiegel D.A., Richardson W.J., Scully S.P., Harrelson J.M. Longterm survival following total sacrectomy with reconstruction for the treatment of primary osteosarcoma of the sacrum. A case report. J. Bone Joint. Surg. Am. 1999, v. 81, p. 848-855.

74. Stacchiotti S. Response to imatinib plus sirolimus in advanced chordoma. Annals of Oncology. 2009, v. 20, p. 1886-1894.

75. Stener B., Gunterberg B. High amputation of the sacrum for extirpation of tumors. Principles and technique. Spine. 1978, v. 3, p. 351-366.

76. Sundaresan N., Huvos A.G., Krol G. et al. Surgical treatment of spinal chordomas. Arch. Surg. 1987, v. 122, p. 1479-1482.

77. Tarlov I.M. Perineural cysts of the spinal root. Arch. Neurol. Psychiatry. 1938, v. 40, p. 1067-1074.

78. Todd L.T. Jr., Yaszemski M.J., Currier B.L., Fuchs B., Kim C.V.V., Sim F.H. Bowel and bladder function after major sacral resection. Clin. Orthop. Relat. Res. 2002, v. 397, p. 36-39.

79. Torelli T., Campo B., Ordesi G., Pirovano C., Azzarelli A., Zanolla R. Sacral chordoms and rehabilitative treatment of urinary disorders. Tumori. 1988, v. 74, p. 475-478.

80. Turcotte R.E., Sim F.H., Unni K.K. Giant cell tumor of the sacrum. Clin. Orthop. Relat. Res. 1993, v. 291, p. 215-221.

81. Turk P.S., Peters N., Libbey N.P., Wanebo H.J. Diagnosis and management of giant intrasacral schwannoma. Cancer. 1992, v. 1, 70 (11), p. 2650-2657.

82. Vagaiwala M.R., Robinson J.S., Galicich J.H., Gralla R.J., Helson L., Beattie E.J. Metastasizing extradural ependymoma of the sacrococcygeal region: case report and review of literature. Cancer. 1979, v. 44, p. 326-333.

83. Virchow R. Die Entwicklung des Schadelgrundes. Berlin: G. Zeimer. 1857, v. 57, p. 127.

84. Yamaguchi T., Yamato M., Saotome K. First histologically confirmed case of a classic chordoma arising in a precursor benign notochordal lesion: differential diagnosis of benign and malignant notochordal lesions. Skeletal Radiol. 2002, v. 31, p. 413-418.

85. Yang R.S., Eckardt J.J, Eilber F.R., Rosen G., Forscher C.A., Dorey F.J. et al. Surgical indications for Ewing’s sarcoma of the pelvis. Cancer. 1995, v. 76, p. 1388-1397.

86. Yonemoto T., Tatezaki S., Takenouchi T. et al. The surgical management of sacrococcygeal chordoma. Cancer. 1999, v. 85, p. 878-883.

87. York J.E., Berk R.H., Fuller G.N., Rao J.S., Abi-Said D., Wildrick D.M. et al: Chondrosarcoma of the spine: 1954 to 1997. J. Neurosurg. 1999, v. 90, p. 73-78.

88. York J.E., Kaczaraj A., Abi-Said D. et al. Sacral chordoma: 40-year experience at a major cancer center. Neurosurgery. 1999, v. 44, p. 74-80.

89. Семенова Л.А. Морфологические особенности аневризмальных костных кист костей. Диссертация канд. мед. наук. 2002.


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Aliev M.D., Musaev E.R. Epidemiology of sacral tumors. review. Bone and soft tissue sarcomas, tumors of the skin. 2014;(1):7-15. (In Russ.)

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