caa a22 4500 445833483 CHVBK 20180317145323.0 cr unu---uuuuu 170323e20110701xx s 000 0 eng 10.1007/s00586-011-1723-8 doi (NATIONALLICENCE)springer-10.1007/s00586-011-1723-8 Recurrent epithelioid sarcoma in the thoracic spine successfully treated with multilevel total en bloc spondylectomy [Elektronische Daten] [Pongsthorn Chanplakorn, Niramol Chanplakorn, Atcharaporn Pongtippan, Suphaneewan Jaovisidha, Wichien Laohacharoensombat] Epithelioid sarcoma (ES) is a rare type of soft tissue tumor. The common location of ES is at the extremities and rarely occurs in axial skeleton. Only two cases have been reported so far. Initial wide resection is recommended for the treatment of ES. However, the local recurrent rate is high and repeat surgical resection is still an option for the treatment of the recurrent. In the spine, however, the proper treatment of recurrent ES has not yet been published. Therefore, the objective of this case report is to illustrate the management strategies for the local recurrent ES after initial surgical resection in the thoracic spine. A 14-year-old boy was diagnosed for ES in the thoracic spine for 2years. He was first treated by surgical resection followed by the chemotherapy and radiotherapy but the disease had progressed and the spine was gradually deformed. He was admitted to our facility with a large soft tissue mass, severe kyphotic deformity and neurological deficit. We removed the tumor en bloc by one-stage posterior only approach. The posterior transpedicular spinal instrumentation and fibular strut graft were used for the reconstruction. On the last follow-up, 2year after the surgery, the patient remained in good condition. In conclusion, the recurrent ES of the spine can still archive a good oncological outcome with repeat radical resection, but the initial radical resection remains the best treatment option in order to retard the relentless course of this kind of malignancy. Springer-Verlag, 2011 Epithelioid sarcoma nationallicence Recurrent nationallicence Thoracic spine nationallicence En bloc spondylectomy nationallicence Chanplakorn Pongsthorn Department of Orthopaedics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, 270 Rama VI Road, Payathai, Ratchathewi, 10400, Bangkok, Thailand aut Chanplakorn Niramol Department of Pathology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand aut Pongtippan Atcharaporn Department of Pathology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand aut Jaovisidha Suphaneewan Department of Radiology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand aut Laohacharoensombat Wichien Department of Orthopaedics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, 270 Rama VI Road, Payathai, Ratchathewi, 10400, Bangkok, Thailand aut European Spine Journal Springer-Verlag 20(2011-07-01), 302-308 0940-6719 20<302 2011 20 586 https://doi.org/10.1007/s00586-011-1723-8 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00586-011-1723-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Chanplakorn Pongsthorn Department of Orthopaedics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, 270 Rama VI Road, Payathai, Ratchathewi, 10400, Bangkok, Thailand aut NATIONALLICENCE 700 1- Chanplakorn Niramol Department of Pathology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand aut NATIONALLICENCE 700 1- Pongtippan Atcharaporn Department of Pathology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand aut NATIONALLICENCE 700 1- Jaovisidha Suphaneewan Department of Radiology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand aut NATIONALLICENCE 700 1- Laohacharoensombat Wichien Department of Orthopaedics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, 270 Rama VI Road, Payathai, Ratchathewi, 10400, Bangkok, Thailand aut NATIONALLICENCE 773 0- European Spine Journal Springer-Verlag 20(2011-07-01), 302-308 0940-6719 20<302 2011 20 586 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer