Estadísticas

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      "titulo" => "Ependimoma subcutáneo de la región sacro-coxígea"
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      "titulo" => "Quiste sinovial raquídeo lumbar. Presentación de dos casos"
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    "titulo" => "Giant sacral neurilernrnorna. Case report"
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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se ha descrito un total de diecis&#233;is casos de tumores sacros con extensi&#243;n presacra que debutan como una lesi&#243;n presacra&#46; Nosotros deseamos presentar el caso de una mujer cuyos s&#237;ntomas empezaron a la edad de 18 a&#241;os&#46; Acudi&#243; a nuestra consulta quince a&#241;os despu&#233;s&#44; tras haber sido sometida a una biopsia y a dos resecciones parciales&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">La lesi&#243;n se extirp&#243; a trav&#233;s de una v&#237;a anterior transperitoneal&#44; con desaparici&#243;n de la sintomatolog&#237;a preoperatoria&#46; La paciente requiri&#243; tratamiento urol&#243;gico cr&#243;nico por presentar hidronefrosis&#44; as&#237; como una artrodesis lumbosacra&#46; No se administr&#243; radioterapia postoperatoria&#46; No han habido recidivas en cinco a&#241;os de seguimiento&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Dado que estos tumores son histol&#243;gicamente benignos&#44; deben ser tratados de forma agresiva con la intenci&#243;n de conseguir una extirpaci&#243;n completa&#46; La v&#237;a de abordaje quir&#250;rgico depende del grado de destrucci&#243;n del sacro&#44; de la extensi&#243;n intrap&#233;lvica y de la afectaci&#243;n de las articulaciones sacro-il&#237;acas&#46;</p>"
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        "resumen" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Sixteen sacral tumours with presacral extension preseting as a presacral mass have been described in the literature&#46; We are presenting the case of a female whose symptoms started at the age of 18 years&#46; She carne to our elinic fifteen years later&#44; after having undergone a biopsy and two partial resections&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The lesion was removed by an anterior transperitoneal approach&#44; with disappearance of her preoperative symptoms&#44; but she required long term urological treatment for hydronephrosis and a posterior lumbosacral fusiono No postoperative radiotherapy was applied&#44; and no recurrence has occurred through a five years follow-up&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">As these tumours are histologically benign&#44; they should be managed aggressively with the aim of complete resection&#46; The choice of surgical approach depends on the degree of sacral destruction&#44; intrapelvic extension&#44; and sacroiliac joint involvement&#46;</p>"
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