Evidence map›Paper›PMID 29372428›Full record

ReviewEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2018

Cryosurgery in the excision of a giant local recurrent sacral chordoma: a case report and literature review.

Valerio Pipola, Marco Girolami, Riccardo Ghermandi, Giuseppe Tedesco, Gisberto Evangelisti, Alessandro Gasbarrini

Abstract readCase ReportsReview
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In one paragraph

Review in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Expert's Comment concerning Grand Rounds case entitled "Cryosurgery in the excision of a giant local recurrent sacral chordoma: a case report and literature review" by V. Pipola et al. (Eur Spine J; https://doi.org/10.1007/s00586-017-5438-3).European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2018
    Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Valerio PipolaDepartment of Oncologic and Degenerative Spine Surgery, Rizzoli Orthopedic Institute, Via G.C. Pupilli 1, 40136, Bologna, Italy. valeriopipola@gmail.com.ORCID 0000-0002-4853-3995
Marco GirolamiDepartment of Oncologic and Degenerative Spine Surgery, Rizzoli Orthopedic Institute, Via G.C. Pupilli 1, 40136, Bologna, Italy.
Riccardo GhermandiDepartment of Oncologic and Degenerative Spine Surgery, Rizzoli Orthopedic Institute, Via G.C. Pupilli 1, 40136, Bologna, Italy.
Giuseppe TedescoDepartment of Oncologic and Degenerative Spine Surgery, Rizzoli Orthopedic Institute, Via G.C. Pupilli 1, 40136, Bologna, Italy.
Gisberto EvangelistiDepartment of Oncologic and Degenerative Spine Surgery, Rizzoli Orthopedic Institute, Via G.C. Pupilli 1, 40136, Bologna, Italy.
Alessandro GasbarriniDepartment of Oncologic and Degenerative Spine Surgery, Rizzoli Orthopedic Institute, Via G.C. Pupilli 1, 40136, Bologna, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeChordoma is a low-grade malignant tumor with recurrence and metastasis tendency that originates from embryonic notochordal remnants. The sacrococcygeal region is the most commonly involved site. The aim of this paper is to report the results of the use of cryosurgery in the excision of a giant recurrent sacral chordoma and review of pertinent literature.

methodsA 64 years old female patient with a locally recurrent sacral chordoma came to our attention after ten interventions performed at another institute. A surgical treatment was performed using argon cryosurgery.

resultsIn this case, it was not possible to perform a marginal or wide excision, but it was intralesional with the removal of three major blocks. The fragments sent for the histological analysis measured total 35 × 30 × 8 cm with a weight of 4.260 g.

conclusionsGiven the gelatinous structure of the tumor and the possibility of contamination of operatory field, cryosurgery may be indicated when previous surgeries and the dimensions of tumor mass do not allow a resection with negative margins improving radiotherapy efficacy in the local control of tumor.

Indexed as

ChordomaCryosurgeryFemaleHumansMagnetic Resonance ImagingMiddle AgedNeoplasm Recurrence, LocalReoperationSacrumSpinal NeoplasmsTomography, X-Ray ComputedCryosurgeryCryotherapyLocal recurrent chordomaSacral chordoma

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.