Our Summary

This research looked into the surgical treatment of sacral neurogenic tumors, which are tumors that occur in the sacral region of the spinal cord. They analyzed data from 64 patients who had undergone surgery for these tumors between 2003 and 2012. The patients were around 37 years old on average and had either neurilemmomas or neurofibromas.

Depending on the size and location of the tumor, different surgical approaches were used. Some complications occurred, such as heavy bleeding, postoperative pain, ureteral injuries, nerve root involvement leading to lower limb motion and sphincter dysfunction, wound healing problems, and cerebrospinal fluid leaks.

Eight patients had their tumors return after surgery and in three of these cases, the tumors had become malignant. There were no deaths during surgery, but there were some rod fractures in patients who needed additional reconstruction surgery.

The researchers concluded that the characteristics of sacral neurogenic tumors make them easy to diagnose and the surgical approach should be based on the tumor’s location and size. They also noted that patients with larger tumors may lose a lot of blood during surgery and have a higher risk of complications after surgery.

FAQs

  1. What are sacral neurogenic tumors and how are they treated?
  2. What complications can occur from the surgery to remove sacral neurogenic tumors?
  3. What factors determine the surgical approach to sacral neurogenic tumors?

Doctor’s Tip

A doctor might advise a patient undergoing tumor resection to discuss with their healthcare team the potential risks and complications associated with the surgery, as well as the likelihood of the tumor returning. They may also recommend following post-operative care instructions carefully to promote proper healing and minimize the risk of complications. Additionally, regular follow-up appointments and monitoring may be necessary to ensure the tumor does not come back or become malignant.

Suitable For

Therefore, patients who are typically recommended tumor resection for sacral neurogenic tumors are those with larger tumors, tumors in critical locations, or tumors that are causing symptoms such as pain, neurological deficits, or functional impairment. Patients who have a high risk of the tumor becoming malignant or recurring may also be recommended for surgery. It is important for patients to discuss all treatment options with their healthcare provider to determine the best course of action for their individual case.

Timeline

Before tumor resection:

  • Patient may experience symptoms such as pain, numbness, weakness, or bowel/bladder dysfunction
  • Patient undergoes imaging tests to diagnose and locate the tumor
  • Treatment plan is developed by a multidisciplinary team
  • Patient may undergo preoperative testing and preparation
  • Surgery is scheduled

After tumor resection:

  • Patient undergoes surgery to remove the tumor
  • Patient may experience complications such as bleeding, pain, nerve damage, or wound healing issues
  • Patient may require additional treatments such as radiation or chemotherapy
  • Patient undergoes follow-up appointments and imaging to monitor for tumor recurrence
  • Patient may experience long-term side effects such as nerve damage or loss of function
  • Patient may need physical therapy or rehabilitation to regain function and mobility

What to Ask Your Doctor

  1. What type of tumor do I have and what are the risks associated with it?
  2. What is the recommended surgical approach for my specific tumor?
  3. What are the potential complications of tumor resection surgery?
  4. How long is the recovery process expected to be after surgery?
  5. Will I need additional treatments, such as radiation or chemotherapy, following the surgery?
  6. What are the chances of the tumor returning after surgery?
  7. What are the long-term implications of having this type of tumor and undergoing surgery?
  8. Are there any alternative treatment options available besides surgery?
  9. How experienced is the surgical team in performing tumor resection surgeries?
  10. Are there any clinical trials or research studies that I may be eligible to participate in for my condition?

Reference

Authors: Sun W, Ma XJ, Zhang F, Miao WL, Wang CR, Cai ZD. Journal: Orthop Surg. 2016 May;8(2):162-70. doi: 10.1111/os.12245. PMID: 27384724