Retroperitoneal mesenchymal chondrosarcoma mimicking a large retroperitoneal sacral schwannoma.
We report a case of retroperitoneal chondrosarcoma in which preoperative radiological study induced to a possible diagnosis of sacral schwannoma. A 25-year-old woman was admitted to our neurosurgical institute for a progressive sciatic pain with gait difficulties with a sudden radicular deficit with right positive Lasegue's sign at 30 degrees, loss of Achilles reflex, sensory deficit on right S1 dermatome, and complete motor deficit of right plantar flexion. We performed an en bloc removal of the lesion via an anterior retroperitoneal approach. We believe that the treatment of choice is radical surgical excision of the tumor with complete en-bloc removal of the lesion; postoperative radiotherapy and chemotherapy should be valuated case by case.
D'Andrea
Giancarlo
G
Chair of Neurosurgery, II Faculty of Medicine, University of Rome La Sapienza, S.Andrea Hospital, Rome, Italy. gdandrea2002@yahoo.it
Caroli
Emanuela
E
Capponi
Michela Giuli
MG
Scicchitano
Francesco
F
Osti
Mattia Falchetto
MF
Bellotti
Carlo
C
Ferrante
Luigi
L
D000328:Adult; D018211:Chondrosarcoma, Mesenchymal / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D004576:Electromyography; D005260:Female; D020233:Gait Disorders, Neurologic / Q000209:etiology; D006801:Humans; D008279:Magnetic Resonance Imaging; D009442:Neurilemmoma / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D009460:Neurologic Examination; D019635:Neurosurgical Procedures; D010146:Pain / Q000209:etiology; D012186:Retroperitoneal Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D012445:Sacrococcygeal Region; D020426:Sciatic Neuropathy / Q000209:etiology; D013126:Spinal Nerve Roots / Q000503:physiopathology; D014057:Tomography, X-Ray Computed