[Abstract] [Full Text PDF] (in Japanese / 2148KB) [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 92(9): 1155-1158, 1991


Report on the annual meeting

CLNICAL OBSERVATIONS AND THE PLANNING OF THERAPY FOR SACROCOCCYGEAL TUMORS

1) Department of Surgery, Tokyo Medical College, Tokyo, Japan
2) Department of Pediatric Surgery, Shizuoka Children's Hospital, Sizuoka, Japan

Yasuhisa Koyanagi1), Konoshin Tamura1), Shinichi Ito1), Tatsuya Aoki1), Kozaburo Kimura1), Sumio Kono2), Shiro Hasegawa2)

Amongst sacrococcygeal tumors, teratoma is seen often while other histologic types are rare. It is apparent that the less obvious intrapelvic tumors can cause obstructive symptoms and are usually diagnosed late. Twenty cases of sacrococcygeal tumor, including 14 teratomas (9 benign, 5 malignant) and 6 others (3 benign, 3 malignant) were treated at Tokyo Medical College and Shizuoka Children's Hospital over the last 23 years. The majority of the benign tumors were readily excised, but one case of benign teratoma was difficult to excise and died of bleeding. The resectablity of malignant tumors was low, but aggressive multiagent chemotherapy, radiotherapy and second look operation made it possible to increase the survival. One case is alive and has been disease free for 11 years. Recently combined therapy by chemotherapy and surgery has improved the survival rate although some problems still remain.


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