Huge giant cell tumor of the sacrum: A case report
- Authors:
- Li‑Feng Qin
- Dan Peng
- Li‑Hua Qin
- Min Xu
- Han Fang
- Qing Zhang
View Affiliations
Affiliations: Department of Orthopedics, The Second Xiang‑Ya Hospital, Central South University, Changsha, Hunan 410010, P.R. China, Department of Gynecology, Nursing School of Hunan University of Chinese Medicine, Changsha, Hunan 410208, P.R. China, Intensive Care Unit, The Second Xiang‑Ya Hospital, Central South University, Changsha, Hunan 410008, P.R. China, Department of Cardiovascular Disease, Xiang‑Ya Hospital Central South University, Changsha, Hunan 410008, P.R. China
- Published online on: January 17, 2014 https://doi.org/10.3892/ol.2014.1812
-
Pages:
894-896
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Abstract
The current report describes the case of a 29‑year‑old female with a sacral giant cell tumor (GCT) during pregnancy. Originally, the patient presented with severe pain in the lumbosacral region, radiating posterolaterally from the lumbar spine into the bilateral thigh and subsequently, into the bilateral crus posterolaterally. Plain X‑rays, computed tomography and magnetic resonance imaging showed osteolytic destruction of the sacrococcygeal bones and a huge soft‑tissue mass with features of a chordoma. The patient underwent a partial en bloc sacrectomy (partial S1 and completely below) and curettage for tumors located at the sacroiliac joint and underlying left ilium, with bilateral internal iliac arteries ligated to control intraoperative hemorrhage. The patient's bilateral S2 nerve roots were killed. The diagnosis of conventional GCT was determined based on the histopathological examination of the resected specimen. Urinary and bowel functions were recovered by exercising.
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