Abstract:
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We report a case of giant cell tumor of the sacrum, presenting with sacral pain, swelling, and change of bowel habits.
Rectal examination revealed a huge retrorectal mass fixed to the sacrum but not to the wall of the rectum. Abdominal
ultrasonography, computed tomography (CT) scan, and magnetic resonance imaging (MRI) showed a huge pelvic mass
invading the sacrum. Exploration via posterior (sacral) approach was not successful due to both, extensive bleeding
and difficult accessibility. Re-exploration was carried out 2 days later with the patient in lithotomy position. Using
abdomino-sacral approach the mass together with part of the sacrum and the whole coccyx were excised.
Histopathology reported giant cell tumor of the sacrum with no evidence of mitosis. The patient was symptomless 12
months after surgery and on follow up. |