The Management of Sacral Schwannoma: Report of Four Cases and Review of Literature
2008
Management of Sacral Schwannoma: Four Case Reports
Sample size: 4
publication
Evidence: moderate
Author Information
Author(s): Chandhanayingyong Chandhanarat, Apichat Asavamongkolkul, Lektrakul Nittaya, Muangsomboon Sorranart
Primary Institution: Faculty of Medicine Siriraj Hospital, Mahidol University
Hypothesis
Intralesional curettage and postoperative radiation can effectively manage sacral schwannoma.
Conclusion
The treatment resulted in symptom relief and preserved neurological function in all patients.
Supporting Evidence
- All patients experienced relief of lumbosacral and radicular pain after surgery.
- No neurological worsening occurred in any patients.
- Radiation therapy was performed after surgery with a dosage of 5000–6600 cGy.
- MRI showed that tumors were eradiated resulting in cystic portions.
Takeaway
Doctors treated four patients with a rare tumor in their lower back using surgery and radiation, and all felt better afterward.
Methodology
Patients underwent intralesional curettage followed by radiation therapy.
Limitations
The follow-up period was relatively short, averaging 18 months.
Participant Demographics
3 women and 1 man, average age 45.5 years.
Digital Object Identifier (DOI)
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