Primary atypical sacral meningioma--not always benign.
We present a case of an atypical recurrent meningioma of the sacrum with pulmonary metastasis in a 31-year-old man. He presented with deep-seated buttock pain and urinary hesitancy for 3 months. MRI revealed a lesion occupying the central and left side of the sacral canal at the S1-S2 level. Surgical excision of the lesion via a posterior approach was undertaken, and the patient became symptom-free post-operatively. Histology confirmed atypical meningioma. Eight months later he re-presented with similar symptoms, and MRI confirmed local recurrence. The patient underwent left hemisacrectomy. Six months later he again presented with low back pain and MRI confirmed a second local recurrence. A CT scan of the chest showed multiple lung metastases. The patient died of a severe chest infection 18 months later.
Bhadra
A K
AK
Royal National Orthopaedic Hospital, Stanmore, London, UK. arupbhadra@yahoo.com
Casey
A T H
AT
Saifuddin
A
A
Briggs
T W
TW
D000328:Adult; D017809:Fatal Outcome; D006801:Humans; D008175:Lung Neoplasms / Q000556:secondary*; D008279:Magnetic Resonance Imaging; D008297:Male; D008579:Meningioma / Q000473:pathology* / Q000601:surgery; D009364:Neoplasm Recurrence, Local; D012445:Sacrococcygeal Region / Q000473:pathology*