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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Autores principales:	Ashish Acharya, Sarvpreet Singh Grewal, Paul Sudhakar John B
Formato:	article
Lenguaje:	EN
Publicado:	Thieme Medical Publishers, Inc. 2021
Materias:	sacral tumor bfh spine tumor Surgery RD1-811 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/9d5d4af35eda4ab4af3be7db36b1325c
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spelling	oai:doaj.org-article:9d5d4af35eda4ab4af3be7db36b1325c2021-11-25T01:45:58ZBenign Fibrous Histiocytoma of the Sacrum: A Rare Scenario2277-954X2277-916710.1055/s-0041-1726605https://doaj.org/article/9d5d4af35eda4ab4af3be7db36b1325c2021-11-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1726605https://doaj.org/toc/2277-954Xhttps://doaj.org/toc/2277-9167Benign 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.Ashish AcharyaSarvpreet Singh GrewalPaul Sudhakar John BThieme Medical Publishers, Inc.articlesacral tumorbfhspine tumorSurgeryRD1-811Neurology. Diseases of the nervous systemRC346-429ENIndian Journal of Neurosurgery (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	sacral tumor bfh spine tumor Surgery RD1-811 Neurology. Diseases of the nervous system RC346-429
spellingShingle	sacral tumor bfh spine tumor Surgery RD1-811 Neurology. Diseases of the nervous system RC346-429 Ashish Acharya Sarvpreet Singh Grewal Paul Sudhakar John B Benign Fibrous Histiocytoma of the Sacrum: A Rare Scenario
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
author	Ashish Acharya Sarvpreet Singh Grewal Paul Sudhakar John B
author_facet	Ashish Acharya Sarvpreet Singh Grewal Paul Sudhakar John B
author_sort	Ashish Acharya
title	Benign Fibrous Histiocytoma of the Sacrum: A Rare Scenario
title_short	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_sort	benign fibrous histiocytoma of the sacrum: a rare scenario
publisher	Thieme Medical Publishers, Inc.
publishDate	2021
url	https://doaj.org/article/9d5d4af35eda4ab4af3be7db36b1325c
work_keys_str_mv	AT ashishacharya benignfibroushistiocytomaofthesacrumararescenario AT sarvpreetsinghgrewal benignfibroushistiocytomaofthesacrumararescenario AT paulsudhakarjohnb benignfibroushistiocytomaofthesacrumararescenario
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Benign Fibrous Histiocytoma of the Sacrum: A Rare Scenario

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