Qin Li-Feng, Peng Dan, Qin Li-Hua, Xu Min, Fang Han, Zhang Qing
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.
Oncol Lett. 2014 Mar;7(3):894-896. doi: 10.3892/ol.2014.1812. Epub 2014 Jan 17.
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.
本报告描述了一名29岁妊娠期骶骨巨细胞瘤（GCT）女性患者的病例。最初，患者表现为腰骶部剧痛，从腰椎向双侧大腿后外侧放射，随后又向双侧小腿后外侧放射。X线平片、计算机断层扫描和磁共振成像显示骶尾骨骨质溶解破坏，并有一个具有脊索瘤特征的巨大软组织肿块。患者接受了部分整块骶骨切除术（部分S1及以下完全切除），并对位于骶髂关节和左髂骨下方的肿瘤进行刮除术，同时结扎双侧髂内动脉以控制术中出血。患者双侧S2神经根被切断。根据切除标本的组织病理学检查确定为传统型GCT。通过锻炼，患者的排尿和排便功能得以恢复。
