Operative Treatment of Pelvic Tumors

  • Hideaki E. Takahashi
  • Tetsuro Morita
  • Tetsuo Hotta
  • Akira Ogose

Table of contents

  1. Front Matter
    Pages I-XIV
  2. Introduction

    1. Tetsuro Morita
      Pages 1-2
  3. Surgical Anatomy

    1. Front Matter
      Pages 3-3
    2. Tetsuo Hotta
      Pages 22-23
  4. Incidence and Histological Classification

    1. Front Matter
      Pages 25-25
  5. Biopsy

    1. Front Matter
      Pages 29-29
  6. Preparation

    1. Front Matter
      Pages 35-35
  7. Approach

    1. Front Matter
      Pages 41-41
  8. Reconstruction

  9. Related Topics

    1. Front Matter
      Pages 97-97
  10. Complications

    1. Front Matter
      Pages 103-103
    2. Takeshi Tojo
      Pages 104-107
  11. Outcomes

  12. Case Presentations

    1. Front Matter
      Pages 117-117
  13. Back Matter
    Pages 191-216

About this book


This book presents our experience in the operative treatment of bone and soft-tissue tumors arising in and around the pelvis, from 1970 to 1999 in the Department of Orthopedic Surgery at the Niigata University Medical Hospital. Histological diagnoses included both benign and malignant tumors. Surgical plan­ ning was difficult to perform in our early experience in operative treatment, when only angiography and barium enemas were in use. In the meantime, computed tomog­ raphy scanning and magnetic resonance imaging became available. Subsequent improvement in the quality of these images made three-dimensional surgical plan­ ning for pelvic tumor removal much easier. Such progress in diagnostic methodolo­ gies, together with advancements in microsurgical techniques, methods of irradiation, and various adjuvant chemotherapies has led to significant improvements in the treat­ ment of pelvic tumors. Furthermore, these advancements were enhanced by the avail­ ability of various conventional and custom-made endoprostheses, plates and screws, spinal instruments, and external fixators made of 3161 stainless steel, titanium, high­ density polyethylene, and ceramics. Because sacral tumors are so silent and symptomless, they may grow to a large size and be difficult to excise. Removal of sacral tumors might make subjective symptoms worse because the sacrum contains the cauda equina. Excision of a tumor that involves the ilium and sacroiliac joint may interrupt the structural stability of the pelvic ring. A tumor affecting the hip joint may require reconstruction to re-establish the func­ of the hip and to provide stability for gait after operative treatment.


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Editors and affiliations

  • Hideaki E. Takahashi
    • 1
  • Tetsuro Morita
    • 2
  • Tetsuo Hotta
    • 3
  • Akira Ogose
    • 4
  1. 1.Niigata University of Health and WelfareNiigataJapan
  2. 2.Department of Orthopedic SurgeryNiigata Cancer Center HospitalNiigataJapan
  3. 3.Operating Room DivisionNiigata University Medical HospitalNiigataJapan
  4. 4.Division of Orthopedic Surgery, Department of Regenerative and Transplant Medicine, Course for Biological Functions and Medical Control, Graduate School of Medical and Dental ScienceNiigata UniversityNiigataJapan

Bibliographic information