Abstract:
STUDY DESIGN:Case report. OBJECTIVES:To present a rare case of a previously operated giant schwannoma located in the sacrum, and to make some considerations regarding diagnostic modalities and treatment options. SUMMARY OF BACKGROUND DATA:Large sacral schwannomas with anterior cortex erosion and associated intrapelvic extension are uncommon. Only a few case reports and small series have been published. There is no established consensus regarding diagnostic modalities, necessity for histologic diagnosis before surgery, or best surgical option. METHODS:The patient presented with a 2-month history of right sciatica and severe low back pain. After a histopathologic diagnosis and a complete set of image studies, the resection of the tumoral mass was planned posteriorly. RESULTS:Seventeen months after tumor resection, the patient has a good clinical outcome, and there are no radiologic signs of instability or recurrence. CONCLUSIONS:Considering the experience of the few cases reported in the world literature, the management of this tumor appears to grant favorable results, recurrence being the most frequent complication.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Ortolan EG,Sola CA,Gruenberg MF,Carballo Vazquez Fdoi
10.1097/00007632-199602150-00023subject
Has Abstractpub_date
1996-02-15 00:00:00pages
522-6issue
4eissn
0362-2436issn
1528-1159journal_volume
21pub_type
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