De Roose Loïc, Decorte Tina, Eeckhaut Bart, Hofman An, Van Dorpe Jo, Bossche Luc Vanden
Department of Physical and Rehabilitation Medicine, Ghent University Hospital, Corneel Heymanslaan 10, Ghent 9000, Belgium.
Department of Physical and Rehabilitation Medicine, Vitaz, Moerlandstraat 1, Sint-Niklaas 9100, Belgium.
Radiol Case Rep. 2025 Mar 8;20(5):2332-2337. doi: 10.1016/j.radcr.2025.02.053. eCollection 2025 May.
A 60-year-old woman with chronic lower back pain and deep gluteal pain with radicular symptoms was diagnosed with an atypical spindle cell lipomatous tumor in the pelvis compressing the sacral plexus and sciatic nerve. She underwent successful surgical excision of the tumor, resulting in significant symptom relief. This case highlights the importance of considering rare tumors in the pelvis, such as atypical spindle cell lipomatous tumors, in the differential diagnosis of radicular pain to avoid misdiagnosis.
一名60岁女性,患有慢性下背部疼痛和深部臀肌疼痛并伴有神经根症状,被诊断为骨盆部的非典型梭形细胞脂肪瘤,该肿瘤压迫骶丛和坐骨神经。她接受了成功的肿瘤手术切除,症状得到显著缓解。该病例强调了在神经根性疼痛的鉴别诊断中考虑骨盆部罕见肿瘤(如非典型梭形细胞脂肪瘤)以避免误诊的重要性。