| Popis: |
A 30-year old male without any history of interest attended our outpatient consult due to back pain that had its onset 1 year before, was of increasing intensity and had responded poorly to treatment with anti-inflammatory drugs. The physical examination did not find anything of interest. A simple x-ray of the lumbo-sacral spine (Figure 1) showed a lesion with a predominantly lytic component in the sacrococcygeal region and an evident mass-effect at a presacral level. The patient was hospitalized to complete a study protocol that included a magnetic resonance of the pelvis (Figure 2), that confirmed a tumor that had a lobulated appearance in the sacrococcygeal region, measuring 14×9 cm, associated to a voluminous soft-tissue mass. A computed tomography guided biopsy, visualizing small, amorphous, intratumoral calcifications. |
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