Description
This presentation by Peter Lewkonia delves into the surgical management of primary spine tumors in adult patients, particularly focusing on the rationale and methodology of en bloc resections. Lewkonia shares an illustrative case of a previous patient with a highly aggressive mixed tumor, emphasizing the complexities associated with treatment decisions for malignant tumors. He discusses the importance of establishing long-term outcomes, considering oncologic, mechanical, and systemic factors when planning surgical interventions.
The presentation further explores the evidence supporting the effectiveness of en bloc resections versus other surgical methods, detailing how careful consideration of tumor biology, patient health status, and surgical risks inform the treatment plan. Key points cover the necessity of multidisciplinary approaches with a focus on reconstructive strategies post-surgery and the role of emerging radiation therapies, including the advancements in proton therapy and intensity-modulated therapies that have improved outcomes for patients with chordomas and other complex tumors. The talk concludes with a recognition of the collaborative efforts required for effective surgical care in these challenging scenarios.