Imaging of primary tumors of sacrum

Kakarla S

Pdf Page Numbers :- 78-84

Kakarla S^1,*

¹Chairman, KIMS Foundation and Research Centre, Minister Road, Secunderabad - 500003, Telangana, India

*Corresponding author: Prof. Kakarla Subbarao, MS, D.Sc. (HON), FRCR, FACR, FICP, FSASMA, FCCP, FICR, FCGP, Chairman, KIMS Foundation and Research Centre, Minister Road, Secunderabad - 500003, Telangana, India. Email: subbaraokakarla25@gmail.com

Received 18 April 2019; Accepted 7 June 2019; Published 20 June 2019

Citation: Kakarla S. Imaging of primary tumors of sacrum. J Med Sci Res. 2019; 7(3):78-84. DOI: http://dx.doi.org/10.17727/JMSR.2019/7-13

Copyright: © 2019 Kakarla S. Published by KIMS Foundation and Research Center. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

PDF

Abstract

Conventional radiology plays a minimum role in identifying bone tumors of the sacrum in the initial stage since sacrum is a curved bone and often is obscured by overlying intestinal contents. Sacrum is composed of two distinct tissues, which include osseous and neural. This paper deals with osseous tumors only. Primary tumors of the sacrum may be benign or malignant. In malignant tumors soft tissue component is more prominent. As elsewhere, age is important in deciding whether the tumor is benign or malignant. Benign tumors include osteoid osteoma, osteoblastoma, osteochondroma, giant cell tumor and aneurysmal bone cyst. Malignant tumors include chordoma, osteosarcoma, Ewing sarcoma, chondrosarcoma, plasmacytoma and malignant fibrous histocytoma. Primary lymphoma of sacrum is very rare. Plain radiographs depict osteolysis, osteosclerosis and expansion of the bone with soft tissue swelling with mineralisation. Advanced imaging may be necessary in arriving at a final diagnosis. Imaging characteristics are described with the help of illustrations. Neurogenic tumors secondarily involving the sacrum are not included in this paper.

Keywords: sacrum; benign; primary malignant; neoplasms; tumors