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骶骨和骨盆环处恶性肿瘤的保肢治疗具有相当的挑战性,该部位解剖毗邻关系复杂、存在重要脏器和神经血管等常使手术难以达到恶性骨肿瘤的外科边界。恶性肿瘤一旦侵及骶髂关节,手术过程中需要将肿瘤组织包括骶髂关节一并切除,同时重建骨盆环的完整性,必将增加手术的难度。2009年2月我们收治1例累及骶髂关节的原始神经外胚瘤,应用术前放疗和化疗、手术、术后化疗的综合方法予以治疗,术后随访36个月,无复发转移,不
Sacrificial limb salvage treatment of malignant tumors at the sacrum and pelvic ring is quite challenging, the anatomy of this site is complicated by the adjacent relationship, there are important organs and neurovascular and other surgical boundaries often make surgery difficult to reach malignant bone tumors. Once the malignant tumor invades the sacroiliac joint, it is necessary to remove the tumor tissue, including the sacroiliac joint, simultaneously with the reconstruction of the integrity of the pelvic ring, which will definitely increase the difficulty of the operation. In February 2009, we treated 1 primitive neuroectodermal tumor involving the sacroiliac joint, and treated with the preoperative radiotherapy and chemotherapy, surgery and postoperative chemotherapy. All patients were followed up for 36 months without recurrence and metastasis,