Kim Do Un, Kim Seok Won, Ju Chang Il
Department of Neurosurgery, College of Medicine, Chosun University, Gwangju, Korea.
J Korean Neurosurg Soc. 2012 Nov;52(5):495-7. doi: 10.3340/jkns.2012.52.5.495. Epub 2012 Nov 30.
Isolated tuberculosis of the coccyx is extremely rare. A 35-year-old man presented with a 3-month history of coccygeal and gluteal pain. Computed tomography and magnetic resonance imaging revealed osseous destruction and a large enhancing mass involving the coccyx with anterior and posterior extension. Pathologic examination of the surgical specimen revealed necrosis, chronic granulomatous inflammation, and multinucleated giant cells consistent with tuberculosis. This case highlights the importance of considering tuberculosis as a diagnosis even though unusual sites are involved.
孤立性尾骨结核极为罕见。一名35岁男性,有3个月的尾骨及臀部疼痛病史。计算机断层扫描和磁共振成像显示骨质破坏以及一个累及尾骨并向前向后延伸的巨大强化肿块。手术标本的病理检查显示坏死、慢性肉芽肿性炎症以及与结核相符的多核巨细胞。该病例强调了即便涉及不常见部位,仍需将结核作为一种诊断考虑的重要性。