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Erschienen in: Der Orthopäde 4/2019

07.09.2018 | Kasuistik

A rare case of giant osteoblastoma of the sacrum

verfasst von: Qi Lai, Qiang Wang, Hucheng Liu, Dejian Chen, Zongmiao Wan, Xiaolong Yu, Runsheng Guo, Xuqiang Liu, Min Dai, Dr. Bin Zhang

Erschienen in: Die Orthopädie | Ausgabe 4/2019

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Abstract

Background

An osteoblastoma is a rare benign bone tumor characterized by formation of osteoid tissue and primitive bone and occurs more often in men than in women. They are often secondary to an osteoid osteoma and can be located at any site on the skeleton. Lesions generally involve the posterior elements of the spine, such as the pedicle and the lamina.

Case presentation

This study reports the case of a 25-year-old female who suffered from an osteoblastoma of the right sacrum with repeated swelling and pain in the right lumbosacral region for approximately 6 months. Computed tomography (CT) and magnetic resonance imaging (MRI) of the pelvis revealed a segmented, expansive, multiseptate lesion. Resection with wide margins was performed and a huge cavity of approximately 15 × 8 × 4.4 cm in the right sacrum and pelvis was formed after complete curettage of the tumor. The pathological analysis of the resected tissue was consistent with a benign osteoblastoma. A follow-up was performed 2 years later and the patient was eventually relieved of the pain, the mobility of the right leg was improved and the CT scan demonstrated no evidence of recurrence.

Conclusion

Osteoblastomas most commonly occur in the spine but rarely also in the sacrum. Large core needle biopsies play an important role in the diagnostics. Intralesional surgery can be performed for treatment of osteoblastomas.
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Metadaten
Titel
A rare case of giant osteoblastoma of the sacrum
verfasst von
Qi Lai
Qiang Wang
Hucheng Liu
Dejian Chen
Zongmiao Wan
Xiaolong Yu
Runsheng Guo
Xuqiang Liu
Min Dai
Dr. Bin Zhang
Publikationsdatum
07.09.2018
Verlag
Springer Medizin
Erschienen in
Die Orthopädie / Ausgabe 4/2019
Print ISSN: 2731-7145
Elektronische ISSN: 2731-7153
DOI
https://doi.org/10.1007/s00132-018-3638-0

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