Challenging the giant: A case report on a huge sacrococcygeal chordoma and its radiological insights

Q4 Medicine
Sakshi Dudhe MBBS , Devyansh Nimodia MBBS , Gaurav V. Mishra MD , Pratapsingh H. Parihar MD , Paritosh Bhangale MBBS , Anjali Kumari MBBS , Rishitha Kotla MBBS
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Abstract

Sacral chordoma is a rare osseous tumor of malignant origin. Remnants of the notochord in the region of sacrum and coccyx is said to be the origin of these tumors. Patients generally have delayed presentation, which is responsible for larger tumor size. Early detection of sacral chordoma is therefore very important. We present a clinical case on a 56-year-old male patient who presented with chronic lower back pain for 3 years, predominantly in the sacral region. He also had occasional bouts of constipation. Diagnostic imaging modalities used encompass ultrasonography, magnetic resonance imaging, and computed tomography scans. Radiological imaging of this patient revealed a giant mass within the pelvis. The mass was involving the lower sacrum and coccyx region predominantly. Associated local osteolytic changes were also noted, which are a characteristic feature of sacral chordoma. The patient underwent surgical excision of the tumor. Subsequent histopathological analysis gave the diagnosis of chordoma of sacral region.
Sacral chordoma should be a consideration in differential diagnosis whenever the patient presents with persistent chronic lumbosacral pain, discomfort, and neurological impairments. Surgical excision followed by radiotherapy is useful in improving clinical outcomes for individuals diagnosed with sacral chordoma. This enhances overall patient prognosis and reduces the risk of local recurrence. The diagnosis of sacral chordoma is a challenge for diagnostic radiologists. Quicker identification, assertive surgical intervention, and suitable adjuvant therapies for chordoma are essential for enhancing patient outcomes and effectively managing this uncommon malignancy called chordoma.
挑战巨人:一个巨大的骶尾脊索瘤的病例报告及其放射学的见解
摘要骶脊索瘤是一种罕见的恶性骨肿瘤。在骶骨和尾骨区域的脊索残余据说是这些肿瘤的起源。患者通常有延迟的表现,这是造成较大的肿瘤大小的原因。因此,骶脊索瘤的早期发现非常重要。我们提出一个临床病例56岁的男性患者谁提出慢性腰痛3年,主要是在骶骨区域。他偶尔也会便秘。使用的诊断成像方式包括超声成像、磁共振成像和计算机断层扫描。该患者的放射影像显示骨盆内有一个巨大的肿块。肿块主要累及下骶骨和尾骨区。相关的局部溶骨改变也被注意到,这是骶脊索瘤的特征。病人接受了手术切除肿瘤。随后的组织病理学分析给出了骶区脊索瘤的诊断。当患者出现持续的腰骶疼痛、不适和神经损伤时,骶脊索瘤应作为鉴别诊断的考虑因素。手术切除后放射治疗有助于改善诊断为骶脊索瘤的个体的临床结果。这提高了患者的整体预后,降低了局部复发的风险。骶脊索瘤的诊断对诊断放射科医师来说是一个挑战。快速识别,果断的手术干预,并适当的辅助治疗脊索瘤是必不可少的,以提高患者的结果和有效地管理这种罕见的恶性肿瘤称为脊索瘤。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Radiology Case Reports
Radiology Case Reports Medicine-Radiology, Nuclear Medicine and Imaging
CiteScore
1.10
自引率
0.00%
发文量
1074
审稿时长
30 days
期刊介绍: The content of this journal is exclusively case reports that feature diagnostic imaging. Categories in which case reports can be placed include the musculoskeletal system, spine, central nervous system, head and neck, cardiovascular, chest, gastrointestinal, genitourinary, multisystem, pediatric, emergency, women''s imaging, oncologic, normal variants, medical devices, foreign bodies, interventional radiology, nuclear medicine, molecular imaging, ultrasonography, imaging artifacts, forensic, anthropological, and medical-legal. Articles must be well-documented and include a review of the appropriate literature.
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