Benign Fibrous Histiocytoma of the Sacrum: A Rare Scenario
Benign fibrous histiocytoma (BFH) of bone is quite rare, and here we report the second case of such tumor originating from sacrum, with the first being reported in an 18-year-old female. The overlapping clinical, radiological, and histopathological findings make it a difficult diagnosis along with t...
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2022-03-01
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| Series: | Indian Journal of Neurosurgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1726605 |
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| author | Ashish Acharya Sarvpreet Singh Grewal B John Paul Sudhakar |
| author_facet | Ashish Acharya Sarvpreet Singh Grewal B John Paul Sudhakar |
| author_sort | Ashish Acharya |
| collection | DOAJ |
| description | Benign fibrous histiocytoma (BFH) of bone is quite rare, and here we report the second case of such tumor originating from sacrum, with the first being reported in an 18-year-old female. The overlapping clinical, radiological, and histopathological findings make it a difficult diagnosis along with the fact that it is a rare diagnosis. In this case report, we present the diagnostic difficulties and optimal treatment for such cases. A 46-year-old male w presented to OPD with complaint of numbness in left foot since 1 month, and intermittent urinary incontinence for 2 weeks. On examination, the straight leg raising test was positive of left side, extensor hallucis longus (EHL) was weak in both lower limbs, and bilateral ankle jerks were diminished. MRI showed well-defined lobulated solid mass lesion, which is T1 hypointense and T2 hyperintense and homogeneously involving the S1 vertebral body, with involvement of the right sacral ala, and right sacral foramen seen at S1 and S2 levels extending into the spinal canal till L4 level. Excision through a posterior midline incision was performed taking care to preserve the traversing nerves. Postoperatively, remarkable improvement in pain with no major residual neurological deficit was observed. Patient was followed-up till 9 months; patient’s incontinence improved over a period of 3 months and has stayed the same until the last follow-up. |
| format | Article |
| id | doaj-art-9d5d4af35eda4ab4af3be7db36b1325c |
| institution | OA Journals |
| issn | 2277-954X 2277-9167 |
| language | English |
| publishDate | 2022-03-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
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| series | Indian Journal of Neurosurgery |
| spelling | doaj-art-9d5d4af35eda4ab4af3be7db36b1325c2025-08-20T01:59:34ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Neurosurgery2277-954X2277-91672022-03-01110107007210.1055/s-0041-1726605Benign Fibrous Histiocytoma of the Sacrum: A Rare ScenarioAshish Acharya0Sarvpreet Singh Grewal1B John Paul Sudhakar2Department of Neurosurgery, Christian Medical College, Ludhiana, Punjab, IndiaDepartment of Neurosurgery, Christian Medical College, Ludhiana, Punjab, IndiaDepartment of Neurosurgery, Christian Medical College, Ludhiana, Punjab, IndiaBenign fibrous histiocytoma (BFH) of bone is quite rare, and here we report the second case of such tumor originating from sacrum, with the first being reported in an 18-year-old female. The overlapping clinical, radiological, and histopathological findings make it a difficult diagnosis along with the fact that it is a rare diagnosis. In this case report, we present the diagnostic difficulties and optimal treatment for such cases. A 46-year-old male w presented to OPD with complaint of numbness in left foot since 1 month, and intermittent urinary incontinence for 2 weeks. On examination, the straight leg raising test was positive of left side, extensor hallucis longus (EHL) was weak in both lower limbs, and bilateral ankle jerks were diminished. MRI showed well-defined lobulated solid mass lesion, which is T1 hypointense and T2 hyperintense and homogeneously involving the S1 vertebral body, with involvement of the right sacral ala, and right sacral foramen seen at S1 and S2 levels extending into the spinal canal till L4 level. Excision through a posterior midline incision was performed taking care to preserve the traversing nerves. Postoperatively, remarkable improvement in pain with no major residual neurological deficit was observed. Patient was followed-up till 9 months; patient’s incontinence improved over a period of 3 months and has stayed the same until the last follow-up.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1726605sacral tumorbfhspine tumor |
| spellingShingle | Ashish Acharya Sarvpreet Singh Grewal B John Paul Sudhakar Benign Fibrous Histiocytoma of the Sacrum: A Rare Scenario Indian Journal of Neurosurgery sacral tumor bfh spine tumor |
| title | Benign Fibrous Histiocytoma of the Sacrum: A Rare Scenario |
| title_full | Benign Fibrous Histiocytoma of the Sacrum: A Rare Scenario |
| title_fullStr | Benign Fibrous Histiocytoma of the Sacrum: A Rare Scenario |
| title_full_unstemmed | Benign Fibrous Histiocytoma of the Sacrum: A Rare Scenario |
| title_short | Benign Fibrous Histiocytoma of the Sacrum: A Rare Scenario |
| title_sort | benign fibrous histiocytoma of the sacrum a rare scenario |
| topic | sacral tumor bfh spine tumor |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1726605 |
| work_keys_str_mv | AT ashishacharya benignfibroushistiocytomaofthesacrumararescenario AT sarvpreetsinghgrewal benignfibroushistiocytomaofthesacrumararescenario AT bjohnpaulsudhakar benignfibroushistiocytomaofthesacrumararescenario |