Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences
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To analyze the surgical treatment results of 52 patients with sacral chordoma. ⋯ Complete resection of tumor (radical surgery when possible) is the most effective way to manage sacrococcygeal chordomas. Postoperative adjuvant radiation therapy can reduce the tumor recurrence rate, but it also can cause troubles that would hinder further surgical managements. Even if the tumor is relatively huge and the upper resection margin is as high as at S1 or S2 level, the tumor can be removed successfully by posterior approach and the postoperative complications could be accepted. Though proper surgical procedures and adjuvant radiation can control the tumor locally, we have no optimal methods to prevent metastases from developing or to cure them when they are detected. One patient who developed metastases in lungs received chemotherapy, and good curative effect had been observed.