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1例表现为轻微马尾和脊髓压迫症状的65岁男性患者诊断为T12~L1脊索瘤,行T12~L1椎体切除融合手术后复健顺利、恢复良好(需拄拐行走),未行放、化疗处理;8个月后肿瘤复发,再次行T12肿瘤切除及T9~L3后路椎体切除融合分期手术,术后并发症包括切口感染、深静脉栓塞、心房纤颤、尿脓毒症、继发于椎旁脓肿、脑室炎的耐甲氧西林金黄色葡萄球菌菌血症,经积极对症处理于3个月后恢复出院,继续行放射治疗。本文报告此例脊索瘤的病灶位置、临床表现和复杂病程,希望为临床医师提供关于此类肿瘤病例的诊疗思路。
One case of 65-year-old male presenting with mild cauda equina and spinal cord compression symptoms was diagnosed as T12-L1 chordoma. T12-L1 vertebroplasty and fusion surgery recovered well and recovered well (need crutches) Chemotherapy; tumor recurrence after 8 months, re-T12 tumor resection and T9 ~ L3 posterior vertebral body fusion surgery staging, postoperative complications include incision infection, deep vein thrombosis, atrial fibrillation, urinary sepsis, following In the paravertebral abscess, intraventricular methicillin-resistant methicillin-resistant Staphylococcus aureus, after positive symptomatic treatment in 3 months after the resumption of discharge, to continue radiotherapy. This article reports the location of chordoma lesions, clinical manifestations and complex course of disease, hoping to provide clinicians with diagnosis and treatment of such cases of cancer ideas.