O impacto da fisioterapia na funcionalidade após ressecção tumoral através da sacrectomia parcial associado à técnica de criocongelamento: relato de caso / The impact of physical therapy on functionality after tumor resonance through sacrectomy partially associated with criocogelament technique: case report
Bibliographic record
Abstract
Introdução: Tumores ósseos malignos consistem aproximadamente 7% das neoplasias primárias em indivíduos menores de 20 anos de idade. Dentre todos esses, a maior prevalência é do Osteossarcoma, ocorrendo em 8,7 casos/milhão e seguido pelo Sarcoma de Ewing com 2,9 casos/milhão. Objetivo: Descrever o efeito da fisioterapia na funcionalidade do paciente submetido à ressecção tumoral através da sacrectomia parcial associado ao Criocongelamento. Relato de Caso: Paciente do sexo feminino LCM de 26 anos com queixa de dor lombar a 2 anos e um abaulamento na região do sacro, apresentou imagem de ressonância magnética sugestiva de neoplasia na região anterior ao Sacro. Após investigação com grupo do Tumor da IMSC-SP e através da biópsia foi diagnosticado um cordoma de Sacro. No dia 17 de maio foi realizada a ressecção da lesão através de uma sacrectomia parcial associado à técnica de criocongelamento. Após a cirurgia a paciente recebeu acompanhamento com a equipe de fisioterapia realizando uma avaliação funcional através do Escore Musculoskeletal Tumor Society (MSTS) e o Toronto Extremity Salvage Score – TESS. Resultados: De acordo com escore MSTS após um ano de tratamento a paciente apresentou Pré-tratamento (Ruim), Pós-Tratamento (Bom), o escore TESS paciente melhorou de 28% para 48%. Conclusão: O acompanhamento multidisciplinar do grupo do Tumor e a equipe de fisioterapia se mostrou eficaz garantindo em 1 ano de tratamento uma melhora funcional de acordo com os escores aplicados.Descritores: Oncologia, Sacro/cirurgia, Cordoma, Modalidade de fisioterapia, Crioterapia/métodos, Criocirurgia/métodosABSTRACT:Introduction: Malignant bone tumors comprise approximately 7% of primary neoplasms in patients under 20 years of age. Among all these, the highest prevalence is in osteosarcoma, occurring in 8.7 cases / million, followed by Ewing's sarcoma with 2.9 casos/milhão. Objective: To describe the intervention of Physical Therapy after criocongelamento Sacro. Case Report: A female patient LCM of 26 years complaining of back pain at 2 years and a bulging in the sacral region, magnetic resonance imaging showed suggestive of neoplasia in the region prior to the Sacro. After investigation with the group Tumor IMSC-SP and through biopsy was diagnosed with chordoma of Sacro. On the 17th of May was performed resection of the lesion through a partial sacrectomia associated with criocongelamento technique. After surgery the patient was monitored with the physiotherapy team performing a functional assessment score through the Musculoskeletal Tumor Society (MSTS) and Toronto Extremity Salvage Score - TESS. Results: According to MSTS score after one year of treatment the patient had pretreatment (Bad), Post-Treatment (good), the TESS score patient improved from 28% to 48%. Conclusion: The multidisciplinary group of Tumor and physiotherapy team was effective providing at 1 year of treatment one functional improvement according scores applied.Key words: Medical oncology, Sacrum/surgery, Chordoma, Physical therapy modalities, Cryotherapy/methods, Cryosurgery/methods
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.001 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".