Giant benign tumor of the sacrum - A case report

Abstract

Introduction: A benign sacral tumor is a rare disease, especially with a giant tumor. We will present the clinical examination, imaging diagnosing images, and our experience in this case. Case presentation: We report a 25-year-old female with a massive sacral tumor, which had been developing for ten years. Clinical examination showed a 210 × 150 × 210mm mass originating from S2 into the sacrum with organ displacement. The biopsy confirmed that was a benign tumor. The surgery was performed with the anterior and posterior approach to remove the tumor and preserve sacroiliac joints. After 18 months, her recovery was smooth. However, she still presented irreversible damages to the bladder and rectal sphincter functions. Conclusion: En block resection of the giant benign sacral tumor with the anterior and posterior approaches is only administrated for a massive and complicated mass, which can only be performed in hospitals with advanced operating departments, anesthesiology, and aggressive supportive care.