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Please use this identifier to cite or link to this item: http://repository.li.mahidol.ac.th/dspace/handle/123456789/19499
Title: The management of sacral schwannoma: Report of four cases and review of literature
Authors: Chandhanarat Chandhanayingyong
Apichat Asavamongkolkul
Nittaya Lektrakul
Sorranart Muangsomboon
Mahidol University
Keywords: Medicine
Issue Date: 27-Oct-2008
Citation: Sarcoma. Vol.2008, (2008)
Abstract: Sacral schwannoma is a rare retrorectal tumor in adults. Postoperative sacral neurological deficit is difficult to avoid. Currently, there is no established consensus regarding best treatment options. We present the management and outcomes of sacral schwannoma in 4 patients treated with intralesional curettage and postoperative radiation. There were 3 women and one man (average age: 45.5 years) with long duration of lumbosacral pain with or without radiculopathy. Intralesional curettage was performed by posterior approach and adjuvant radiation therapy with dosage of 5000-6600 cGy was given after surgery. The mean follow-up time was 18 months (range 4-23 months). Symptoms of radiculopathy had decreased in all patients. The recent radiographic findings show evidence of sclerosis at the sacrum one year postoperatively, but the size was unchanged. Intralesional curettage and adjuvant radiation therapy can be used in the treatment of sacral schwannoma to relieve symptoms and preserve neurological function. Copyright © 2008 Chandhanarat Chandhanayingyong et al.
URI: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=54249149446&origin=inward
http://repository.li.mahidol.ac.th/dspace/handle/123456789/19499
ISSN: 13691643
1357714X
Appears in Collections:Scopus 2006-2010

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