Subcutaneous sacrococcygeal ependymoma with inguinal lymph node metastastis

Kramer, G.; Rutten, E.H.J.M.; Sloof, J.

doi:10.3171/jns.1988.68.3.0474

Cited by 33 publications

(32 citation statements)

References 14 publications

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“…Sin embargo, los ependimomas de partes blandas presentan metástasis a distancia con mayor frecuencia que los meníngeos 3,6 , fenómeno atribuido frecuentemente al fácil acceso del tumor a los vasos linfáticos-sanguíneos. Se han documentado metástasis a pulmón, pleura, hueso y ganglios inguinales [8][9][10] .…”

Section: Figuraunclassified

Ependimoma mixopapilar de partes blandas: descripción de un caso y revisión de la literatura

Vega-Falcón

González‐Arnay

Hernández-León

et al. 2015

Revista Española de Patología

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Section: Figuraunclassified

Ependimoma mixopapilar de partes blandas: descripción de un caso y revisión de la literatura

Vega-Falcón

González‐Arnay

Hernández-León

et al. 2015

Revista Española de Patología

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“…In addition, plain x-ray films or computerized tomography scans may be warranted in extradural ependymomas to provide further detail about bone involvement. We recommend paying particular attention to general examination for lymphadenopathy, especially in the inguinal lymph nodes, 15 and would also obtain chest x-ray films, liver function tests, and alkaline phosphatase levels preoperatively. Presacral tumors warrant a special workup that likely requires an abdominal/ pelvic surgical specialist.…”

Section: Preoperative Evaluationmentioning

confidence: 99%

“…Some authors have recommended coccygectomy in addition to local excision as a means of reducing the risk of recurrence. 15 The surgical approach for presacral lesions depends on the degree of sacral involvement. Isolated presacral tumors with minimal to no sacral involvement may be radically resected via just an anterior approach.…”

Section: Treatment Optionsmentioning

confidence: 99%

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Lumbosacral ependymomas: a review of the management of intradural and extradural tumors

Fassett¹,

Schmidt²

2003

FOC

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Object The goal of this study was to review the management of intra- and extradural ependymomas. Spinal ependymomas most commonly occur as intramedullary tumors throughout the spinal axis. In the lumbosacral region, ependymomas are most commonly associated with the conus medullaris and cauda equina, but can also occur extradurally in the sacrum, presacral tissues, or subcutaneous tissues over the sacrum. These two tumor locations produce different management concerns. Intradural ependymomas, especially those in the lumbosacral region, are now recognized for their potential to spread throughout the central nervous system (CNS), whereas extradural tumors elicit more concern for their association with extraneural metastases. Methods The authors have reviewed the literature regarding both of these distinct tumors and have summarized recommendations for the management of intra- and extradural lumbosacral ependymomas. For both tumors, it appears that gross-total resection is the treatment of choice when feasible. The role of radiation therapy has not been adequately studied for either tumor location, but most clinicians use this modality in patients with subtotal resection of intradural ependymomas, local recurrence, or CNS dissemination. Data supporting the use of radiation therapy for extradural ependymomas are lacking. There does not appear to be a significant role for chemotherapy in either tumor location. Conclusions Despite the risk for local recurrence and CNS dissemination, the prognosis for intradural lumbosacral ependymomas is good, with a greater than 90% 10-year patient survival in most series. The prognosis for extradural ependymomas does not appear to be as good. Much depends on extradural tumor location, however; the outlook is better for dorsal sacral tumors than presacral tumors.

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“…Long-term follow-up is mandatory since metastases can occur in 17% of patients even 10–20 years after the initial presentation [2]. Most metastases are located in the lungs followed by the lymph nodes and pleura [3]. In conclusion, subcutaneous sacrococcygeal ependymoma should be included in the differential diagnosis of sacrococcygeal masses.…”

Section: Figmentioning

confidence: 99%

Myxopapillary Ependymoma of the Sacrococcygeal Region Presenting as a Pilonidal Sinus

Alexiou¹,

Sfakianos²,

Moschovi

et al. 2012

Pediatr Neurosurg

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Subcutaneous sacrococcygeal ependymoma with inguinal lymph node metastastis

Abstract: A patient with a subcutaneous sacrococcygeal ependymoma and metastasis to the inguinal lymph nodes is presented and his treatment is described. Previous reports on sacrococcygeal ependymoma are reviewed.

Cited by 33 publications

References 14 publications

Ependimoma mixopapilar de partes blandas: descripción de un caso y revisión de la literatura

Ependimoma mixopapilar de partes blandas: descripción de un caso y revisión de la literatura

Lumbosacral ependymomas: a review of the management of intradural and extradural tumors

Myxopapillary Ependymoma of the Sacrococcygeal Region Presenting as a Pilonidal Sinus

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