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DOI: 10.5935/2526-8732.20220330
The role of pelvic rehabilitation in quality of life in a patient harboring metastatic chordoma: a case report
O papel da reabilitação pélvica na qualidade de vida em paciente portadora de cordoma metastático: relato de caso Financial support: None to declare.
ABSTRACT
Introduction: Chordoma is a malignant tumor that usually involves the axial skeleton. Intradural chordomas are even rarer and 37 cases have been reported to the best of our knowledge. We present a case of a patient with an atypical metastatic diffuse intradural spinal involvement.
Objective: To investigate therapeutic approaches such as pelvic physiotherapy for hospitalized and palliative patients in a private institution diagnosed with advanced cancer.
Case Report: We present a 33-year-old woman previously submitted to five brain surgeries to treat a posterior fossa intradural chordoma since December 2012. There were new vertebral intradural lesions. The patient underwent complementary treatment with pelvic physiotherapy to improve the quality of life of the urinary and fecal system.
Material and Methods: After six sessions of pelvic physiotherapy in bed and a month of behavioral monitoring and exercise practice, she returned to the condition of adequate urinary continence, thus obtaining an expressiveness in the overall quality of life.
RESUMO
Introdução: Cordoma é um tumor maligno que geralmente envolve o esqueleto axial. Cordomas intradurais são ainda mais raros e 37 casos foram relatados até onde sabemos. Apresentamos o caso de um paciente com acometimento espinhal intradural difuso metastático atípico.
Objetivo: Investigar abordagens terapêuticas como a fisioterapia pélvica para pacientes hospitalizados e paliativos em uma instituição privada com diagnóstico de câncer avançado.
Relato de Caso: Apresentamos uma mulher de 33 anos previamente submetida à cinco cirurgias cerebrais para tratamento de cordoma intradural de fossa posterior desde dezembro de 2012. Ocorreram novas lesões intradurais vertebrais. A paciente foi submetida a tratamento complementar com fisioterapia pélvica para melhorar a qualidade de vida do aparelho urinário e fecal.
Material e Métodos: Após seis sessões de fisioterapia pélvica no leito e um mês de acompanhamento comportamental e prática de exercícios, voltou ao estado de continência urinária adequada, obtendo assim expressividade na qualidade de vida geral.
Keywords:
Brain neoplasm - Chordoma - Spine - Spinal cord - Recurrence - Rehabilitations - Quality of lifePalavras-chave:
Neoplasia cerebral - Cordoma - Coluna - Medula espinhal - Recorrência - Reabilitações - Qualidade de vidaPublikationsverlauf
Eingereicht: 13. Januar 2022
Angenommen: 29. April 2022
Artikel online veröffentlicht:
22. Juni 2022
© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)
Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil
Dalila Gonçalves Duarte, Matheus Fernandes de Oliveira, Eduardo de Arnaldo Silva Vellutini, Ricardo Caponero, Katia Cristina Camondá Braz. The role of pelvic rehabilitation in quality of life in a patient harboring metastatic chordoma: a case report. Brazilian Journal of Oncology 2022; 18: e-20220330.
DOI: 10.5935/2526-8732.20220330
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REFERENCES
- 1 Vellutini EAS, Oliveira MF. Intradural chordoma presenting with intratumoral bleeding. J Clin Neurosci 2016; Mar; 25: 139-142 https://doi.org/10.1016/j.jocn.2015.07.023
- 2 Zhang J, Gao CP, Liu XJ, Xu WJ. Intradural cervical chordoma with diffuse spinal leptomeningeal spread: case report and review of the literature. Eur Spine J 2018; 27 (03) 440-445 https://doi.org/10.1007/s00586-017-5443-6
- 3 Vellutini EAS, Brock RS, Martins HO, Taricco MA, Oliveira MF. Diffuse spinal spreading following previous intracranial intradural chordoma resection: a rare case report. J Clin Neurosci 2019; Jun; 64: 44-46 https://doi.org/10.1016/j.jocn.2019.03.020
- 4 Das P, Soni P, Jones J, Habboub G, Barnholtz-Sloan JS, Recinos PF. et al. Descriptive epidemiology of chordomas in the United States. J Neurooncol 2020; Apr; 148 (01) 173-178 https://doi.org/10.1007/s11060-020-03511-x
- 5 Frezza AM, Botta L, Trama A, Dei Tos A, Stacchiotti S. Chordoma: update on disease, epidemiology, biology and medical therapies. Curr Opin Oncol 2019; Mar; 31 (02) 114-120 https://doi.org/10.1097/CCO.0000000000000502
- 6 Whelan JS, Davis LE. Osteosarcoma, chondrosarcoma, and chordoma. J Clin Oncol 2018; 36 (02) 188-193 https://doi.org/10.1200/JCO.2017.75.1743
- 7 Song PH, Beyhaghi H, Sommer J, Bennett AV. Symptom burden and life challenges reported by adult chordoma patients and their caregivers. Qual Life Res 2017; 26 (08) 2237-2244 https://doi.org/10.1007/s11136-017-1544-2
- 8 Diaz RJ, Maggacis N, Zhang S, Cusimano MD. Determinants of quality of life in patients with skull base chordoma. J Neurosurg 2014; 120 (02) 528-537 https://doi.org/10.3171/2013.9.JNS13671
- 9 Schwab JH, Janssen SJ, Pereira NRP, Chen YLE, Wain JC, DeLaney TF. et al. Quality of life after resection of a chordoma of the mobile spine. Bone Joint J 2017; Jul; 99 (07) 979-986 https://doi.org/10.1302/0301-620X.99B7.BJJ-2016-1126.R1
- 10 Ferrell BR, Temel JS, Temin S, Alesi ER, Balboni TA, Basch EM. et al. Integration of palliative care into standard oncology care: American Society of Clinical Oncology clinical practice guideline update. J Clin Oncol 2017; 35 (01) 96-112 https://doi.org/10.1200/JCO.2016.70.1474
- 11 Ferrell BR, Temel JS, Temin S, Smith TJ. Integration of palliative care into standard oncology care: ASCO clinical practice guideline update summary. J Oncol Pract 2017; 13 (02) 119-121 https://doi.org/10.1200/JOP.2016.017897
- 12 Jordan K, Aapro M, Kaasa S, Ripamonti CI, Scotté F, Strasser F. et al. European Society for Medical Oncology (ESMO) position paper on supportive and palliative care. Ann Oncol 2018; Jan; 29 (01) 36-43 https://doi.org/10.1093/annonc/mdx757
- 13 Dans M, Smith T, Back A, Baker JN, Bauman JR, Beck AC. et al. NCCN guidelines insights: palliative care, version 2.2017. J Natl Compr Canc Netw 2017; Aug; 15 (08) 989-997 https://doi.org/10.6004/jnccn.2017.0132
- 14 Rubin EB, Buehler AE, Cooney E, Gabler NB, Mante AA, Halpern SD. Intuitive vs deliberative approaches to making decisions about life support: a randomized clinical trial. JAMA Netw Open 2019; 2 (01) e187851 https://doi.org/10.1001/jamanetworkopen.2018.7851
- 15 Laycock JO, Jerwood D. Pelvic floor muscle assessment: the PERFECT scheme. Physiotherapy 2001; Dec; 87 (12) 631-642 https://doi.org/10.1016/S0031-9406(05)61108-X
- 16 Van Wulfften Palthe ODR, Janssen SJ, Wunder JS, Ferguson PC, Wei G, Rose PS. et al. What questionnaires to use when measuring quality of life in sacral tumor patients: the updated sacral tumor survey. Spine J 2017; May; 17 (05) 636-644 https://doi.org/10.1016/j.spinee.2016.11.004
- 17 Simren M, Palsson OS, Whitehead WE. Update on Rome IV criteria for colorectal disorders: implications for clinical practice. Curr Gastroenterol Rep 2017; 19 (04) 15 https://doi.org/10.1007/s11894-017-0554-0
- 18 Rodrigues JA, Moreira AC, Elias LLK, Castro M. Neuroendocrinologia básica e aplicada. Rio de Janeiro: Guanabara Koogan;; 2006
- 19 Cestari EC, Souza THC, Silva SA. Eletroestimulação no tratamento da incontinência urinária esforço feminina. Rev Ciênc Estud Acad Med 2016; 1 (06) 93-101
- 20 Grosse D, Sengler J. Reeducação perineal: concepção, realização e transcrição em prática liberal e hospitalar. São Paulo: Manole;; 2002
- 21 Browning KN, Travagli RA. Central nervous system control of gastrointestinal motility and secretion and modulation of gastrointestinal functions. Compr Physiol 2014; Oct; 4 (04) 1339-1368
- 22 Luo S, Xu H, Zuo Y, Liu X, All AH. A review of functional electrical stimulation treatment in spinal cord injury. Neuromol Med 2020; Jan; 22: 447-463 https://doi.org/10.1007/s12017-019-08589-9