Surgical treatment of locally advanced undifferentiated spindle cell paravertebral soft tissue sarcoma. Case report
- Authors: Zagorodnii N.V. 1, Karpenko V.Y. 1, Berchenko G.N. 1, Karasev A.L. 1, Zelyanin A.S. 2, Akhpashev A.A. 3, Lysenko I.S. 1, Iluridze G.D. 1
- Affiliations:
- N.N. Priorov National Medical Research Center of Traumatology and Orthopedics
- I.M. Sechenov First Moscow State Medical University of the Ministry of Heathcare of the Russia Federation
- Federal Research Clinical Center of FMBA
- Issue: Vol 27, No 3 (2020)
- Pages: 73-78
- Section: Original studies
- URL: https://journals.eco-vector.com/0869-8678/article/view/34236
- DOI: https://doi.org/10.17816/vto202027373-78
- Cite item
Abstract
Abstract: Soft tissue sarcomas are a rare heterogeneous group of malignant tumor of different origin. The small quantity patients with this diagnosis leads to a lack of scientific data on the treatment of such patients. This article presents a clinical case of a patient with spindle-cell paravertebral sarcoma of soft tissues of pelvic localization, who get surgical treatment in the volume of reconstructive plastic surgery with endoprosthesis of the sacroiliac joint.
Full Text

About the authors
Nikolai V. Zagorodnii
N.N. Priorov National Medical Research Center of Traumatology and Orthopedics
Email: cito@cito-priorov.ru
Russian Federation, Moscow
MD, PhD, Professor, head of the division of endoprosthetics
Vadim Y. Karpenko
N.N. Priorov National Medical Research Center of Traumatology and Orthopedics
Email: doctor-kv@yandex.ru
Russian Federation, Moscow
MD, PhD, head of the division of bone pathology
Gennady N. Berchenko
N.N. Priorov National Medical Research Center of Traumatology and Orthopedics
Email: berchenko@cito-bone.ru
Russian Federation, Moscow
MD, PhD, head of the division of pathology
Anatoly L. Karasev
N.N. Priorov National Medical Research Center of Traumatology and Orthopedics
Email: karaseva81@mail.ru
ORCID iD: 0000-0002-3356-5193
Russian Federation, Moscow
oncologist
Alexander S. Zelyanin
I.M. Sechenov First Moscow State Medical University of the Ministry of Heathcare of the Russia Federation
Email: microsurgery@inbox.ru
Russian Federation, Moscow
MD, PhD, Professor at the department of plastic surgery
Alexander A. Akhpashev
Federal Research Clinical Center of FMBA
Email: akhpashev@yandex.ru
Russian Federation, Moscow
MD, Head of the department of traumatology and orthopedics
Ivan S. Lysenko
N.N. Priorov National Medical Research Center of Traumatology and Orthopedics
Email: vanya_lysenco@me.com
ORCID iD: 0000-0003-1434-6742
Mendeley Profile: https://www.mendeley.com/profiles/ivan-lysenko2/
Russian Federation, Moscow
resident
George D. Iluridze
N.N. Priorov National Medical Research Center of Traumatology and Orthopedics
Author for correspondence.
Email: iluridze01@gmail.com
ORCID iD: 0000-0001-7847-4861
Russian Federation, Moscow
oncologist
References
- Siegel RL, Miller KD, Jemal A. Cancer statistics, 2016. CA Cancer J Clin. 2016;66(1):7-30. https://doi.org/10.3322/caac.21332.
- Saltus CW, Calingaert B, Candrilli S, et al. Epidemio-logy of adult soft-tissue sarcomas in Germany. Sarcoma. 2018;2018:5671926. https://doi.org/10.1155/2018/5671926.
- Состояние онкологической помощи населению России в 2017 году / под ред. А.Д. Каприна, В.В. Старинского, Г.В. Петровой. — М.: МНИОИ им. П.А. Герцена филиал ФГБУ «НМИЦ радиологии» Минздрава России; 2018. — 236 с. [Sostoyanie onkologicheskoi pomoshchi naseleniyu Rossii v 2017 godu. Ed by AD Kaprin, VV Starinsky, GV Petrova. Moscow: MNIOI im. PA Gertsena filial FGBU «NMITs radiologii» Minzdrava Rossii; 2018. 236 p. (In Russ.)]
- Zhang Y, Zhu Y, Shi X, et al. Soft tissue sarcomas: preoperative predictive histopathological grading based on radiomics of MRI. Acad Radiol. 2019;26(9):1262-1268. https://doi.org/10.1016/j.acra.2018.09.025.
- Siegel R, Naishadham D, Jemal A. Cancer statistics, 2012. CA Cancer J Clin. 2012;62(1):10-29. https://doi.org/10.3322/caac.20138.
- Albritton K, Bleyer WA. The management of cancer in the older adolescent. Eur J Cancer. 2003;39(18):2584-2599. https://doi.org/10.1016/j.ejca.2003.09.013.
- Birch JM, Alston RD, Quinn M, Kelsey AM. Incidence of malignant disease by morphological type, in young persons aged 12–24 years in England, 1979–1997. Eur J Cancer. 2003;39(18):2622-2631. https://doi.org/10.1016/j.ejca.2003.08.006.
- Yang JC, Glatstein EJ, Rosenberg SA, et al. Sarcomas of the soft tissues. In: DeVita VT, Jr, Hellman S, Rosenberg SA, eds. Cancer Principles & Practice of Oncology. 4th ed. Philadelphia: JB Lippincott; 1993.
- Pollack R, Brennan M, Lawrence W. Society of Surgical Oncology practice guidelines. Soft-tissue sarcoma surgical practice guidelines. Oncology (Williston Park). 1997;11(9):1327-1332.
- Cormier JN, Pollock RE. Soft tissue sarcomas. CA Cancer J Clin. 2004;54(2):94-109. https://doi.org/10.3322/canjclin.54.2.94.
- Levy AD, Manning MA, Al-Refaie WB, Miettinen MM. Soft-tissue sarcomas of the abdomen and pelvis: radiologic-pathologic features, Part 1 — common sarcomas. RadioGraphics. 2017;37(2):462-483. https://doi.org/10.1148/rg.2017160157.
- Levy AD, Manning MA, Miettinen MM. Soft-tissue sarcomas of the abdomen and pelvis: radiologic-pathologic features, Part 2 — uncommon sarcomas. RadioGraphics. 2017;37:797-812. https://doi.org/10.1148/rg.2017160201.
- Ramu EM, Houdek MT, Isaac CE, et al. Management of soft-tissue sarcomas; treatment strategies, staging, and outcomes. SICOT J. 2017;3:20. https://doi.org/10.1051/sicotj/2017010.
- Илуридзе Г.Д., Карпенко В.Ю., Державин В.А., Бухаров А.В. Типы расширенных хирургических вмешательств при местно-распространенных опухолях с поражением тазового кольца // Онкология. Журнал им. П.А. Герцена. — 2019. — Т. 8. № 2. — С. 131–138. [Iluridze GD, Karpenko VYu, Derzhavin VA, Bukharov AV Types of extended surgical interventions for locally advanced tumors involving the pelvic ring. Onkologiya. Zhurnal imeni PA Gertsena. 2019;8(2):131-138. (In Russ.)] https://doi.org/10.17116/onkolog20198021131.
- Shiu MH, Castro EB, Hajdu SI, Fortner JG. Surgical treatment of 297 soft tissue sarcomas of the lower extremity. Ann Surg. 1975;182(5):597-602. https://doi.org/10.1097/00000658-197511000-00011.
- Apffelstaedt JP, Zhang PJ, Driscoll DL, Karakousis CP. Various types of hemipelvectomy for soft tissue sarcomas: complications, survival and prognostic factors. Surg Oncol. 1995;4(4):217-222. https://doi.org/10.1016/s0960-7404(10)80038-6.
- Fuchs B, Yaszemski MJ, Sim FH. Combined posterior pelvis and lumbar spine resection for sarcoma. Clin Orthop Relat Res. 2002;(397):12-18. https://doi.org/10.1097/00003086-200204000-00003.
- Zhou YJ, Yunus A, Tian Z, et al. The pedicle screw-rod system is an acceptable method of reconstructive sur-gery after resection of sacroiliac joint tumours. Contemp Oncol (Pozn). 2016;20(1):73-79. https://doi.org/10.5114/wo.2016.58503.
- Lin P, Shao Y, Lu H, et al. Pelvic reconstruction with different rod-screw systems follow-ing Enneking type I/I + IV resection: a clinical study. Oncotarget. 2017;8(24):38978-38989. https://doi.org/10.18632/oncotarget.17164.
- Zhang YD, Guo W, Yang RL, et al. Malignant pelvic tumors involving the sacrum: surgical ap-proaches and procedures based on a new classification. Orthop Surg. 2016;8(2):150-161. https://doi.org/10.1111/os.12240.
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