Bone and soft tissue sarcomas, tumors of the skinBone and soft tissue sarcomas, tumors of the skinСаркомы костей, мягких тканей и опухоли кожи2219-46142782-3687Publishing House ABV Press479EDITORIALОТ РЕДАКЦИИEpidemiology of sacral tumors. reviewЭпидемиология опухолей крестца: обзор литературыAlievM. D.АлиевМ. Д.
Russian Federation

Moscow

г. Москва

MusaevE. R.МусаевЭ. Р.
Russian Federation

Moscow

г. Москва

mer71@mail.ruFGBU N.N. Blokhin Russian Cancer Research CenterФГБУ «Российский онкологический научный центр им. Н.Н. Блохина» РАМН27012014617152601202226012022Copyright ©; 2014, Aliev M.D., Musaev E.R.Copyright ©; 2014, Алиев М.Д., Мусаев Э.Р.2014Aliev M.D., Musaev E.R.Алиев М.Д., Мусаев Э.Р.https://creativecommons.org/licenses/by/4.0https://sarbon.abvpress.ru/jour/article/view/479

Sacral tumors are very rare and consists about 1–7% of all spine tumors. Most of sacral tumors are metastatic tumors, the most often primary malignant tumor of the sacrum is chordoma. Treatment of patient with sacral tumors is still a difficult problem. Most of patients receive treatment from nononcological diseases and referred in specialized hospitals with hugе tumor. The sacrum has a complex anatomy due to its close relationship with major vessels, sacroiliac joints, sacral nerve roots and viscera like the bowel and rectum. This makes it hard to achieve wide surgical margins during surgery and increases perioperative morbidity and mortality. The understanding of tumor behavior will help to develop optimal treatment.

Опухоли крестца встречаются редко и составляют около 17% всех опухолей позвоночного столба. Большинство опухолей крестца метастатической природы, наиболее часто встречающаяся первичная злокачественная опухоль крестца- это хордома. Лечение пациентов с опухолями крестца остается сложной проблемой, большинство пациентов получает лечение в клиниках от неонкологических заболеваний и попадают в специализированные клиники, как правило, уже с опухолями больших размеров . Крестец находится в сложной анатомической зоне, в непосредственной близости к магистральным сосудам, крестцово-подвздошным сочленениям и толстой кишке, что делает сложным достижение широких краев резекции и увеличивает периоперационную смертность. Более детальное изучение этой группы опухолей поможет в разработке правильных алгоритмов лечения.

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