Can local recurrence of a sacral XXXX be treated by further surgery?

@entity1 @entity3580 @entity5
The purpose of this study was to evaluate the long-term outcome of @entity1 with a sacral @entity3580 and the surgical management of locally recurrent disease. Between October 1990 and August 2013 we operated on 54 consecutive @entity1 with a sacral @entity3580 . There were 34 @entity1 and 20 @entity1 with a mean age of 60 years (25 to 86). The mean maximum diameter of the @entity5 was 9.3 cm (3 to 20). The mean follow-up was 7.8 years (2 months to 23.4 years). The disease-specific survival was 82% at five years, 57% at ten years and 45% at 15 years. The local recurrence-free survival was 49% at five years, 37% at ten years and 20% at 15 years. Local recurrence occurred in 30 @entity1 (56%) at a mean of 3.8 years (3 months to 13 years) post-operatively. Survival after the treatment of recurrence was 89% at two years, 56% at five years and 19% at ten years. Of nine @entity1 who had complete resection of a recurrence, one died after 72 months and eight remain disease-free. Incomplete resection of recurrent disease resulted in a survival of 54% at two years and 36% at five years. For 12 @entity1 with a local recurrence who were treated palliatively, survival was 81% at two years and 31% at five years. A wide margin of resection gave the best chance of long-term survival and complete resection of local recurrence the best chance of control of disease.
