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Surgical management of a rare myxopapillary ependymoma of the gluteal region: A case report
BACKGROUND: Ependymomas are rare tumors originating from neuroepithelial cells lining the wall of the ventricles or central canal of the spinal cord. While these tumors mainly occur within the central nervous system (CNS), there are occasional reports in children and young adult patients with a prim...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Scientific Scholar
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8053468/ https://www.ncbi.nlm.nih.gov/pubmed/33880235 http://dx.doi.org/10.25259/SNI_768_2020 |
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author | Lien, Brian V. Brown, Nolan J. Himstead, Alexander S. Ball, Benjamin Z. Guillen, Aileen Acharya, Nischal Yi Yang, Chen Sahyouni, Ronald Perez-Rosendahl, Mari Stitzlein, Russell N. Hsu, Frank P. K. |
author_facet | Lien, Brian V. Brown, Nolan J. Himstead, Alexander S. Ball, Benjamin Z. Guillen, Aileen Acharya, Nischal Yi Yang, Chen Sahyouni, Ronald Perez-Rosendahl, Mari Stitzlein, Russell N. Hsu, Frank P. K. |
author_sort | Lien, Brian V. |
collection | PubMed |
description | BACKGROUND: Ependymomas are rare tumors originating from neuroepithelial cells lining the wall of the ventricles or central canal of the spinal cord. While these tumors mainly occur within the central nervous system (CNS), there are occasional reports in children and young adult patients with a primary tumor occurrence outside of the CNS. Ependymomas of the sacrococcygeal region have been infrequently described in the literature with no standard of care established. We present a case report and review of the literature regarding this rare entity. CASE DESCRIPTION: A 24-year-old woman presented with right gluteal pain worsened by sitting and a palpable soft tissue mass of the sacrococcygeal region. Magnetic resonance imaging revealed a 3.7 cm cystic mass centered in the right gluteal region. She underwent a biopsy at an outside institution, with histology revealing myxopapillary ependymoma. The patient was referred to our hospital and underwent an interdisciplinary neurosurgical and orthopedic oncology en bloc resection of the ependymoma, which intraoperatively appeared to originate from the coccygeal nerve. CONCLUSION: In the present report, the authors demonstrate that a myxopapillary ependymoma may present as an isolated gluteal mass attached to the coccygeal nerve, without frank CNS involvement. Furthermore, an interdisciplinary approach to surgical resection of this lesion appears to represent an effective treatment modality. |
format | Online Article Text |
id | pubmed-8053468 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Scientific Scholar |
record_format | MEDLINE/PubMed |
spelling | pubmed-80534682021-04-19 Surgical management of a rare myxopapillary ependymoma of the gluteal region: A case report Lien, Brian V. Brown, Nolan J. Himstead, Alexander S. Ball, Benjamin Z. Guillen, Aileen Acharya, Nischal Yi Yang, Chen Sahyouni, Ronald Perez-Rosendahl, Mari Stitzlein, Russell N. Hsu, Frank P. K. Surg Neurol Int Case Report BACKGROUND: Ependymomas are rare tumors originating from neuroepithelial cells lining the wall of the ventricles or central canal of the spinal cord. While these tumors mainly occur within the central nervous system (CNS), there are occasional reports in children and young adult patients with a primary tumor occurrence outside of the CNS. Ependymomas of the sacrococcygeal region have been infrequently described in the literature with no standard of care established. We present a case report and review of the literature regarding this rare entity. CASE DESCRIPTION: A 24-year-old woman presented with right gluteal pain worsened by sitting and a palpable soft tissue mass of the sacrococcygeal region. Magnetic resonance imaging revealed a 3.7 cm cystic mass centered in the right gluteal region. She underwent a biopsy at an outside institution, with histology revealing myxopapillary ependymoma. The patient was referred to our hospital and underwent an interdisciplinary neurosurgical and orthopedic oncology en bloc resection of the ependymoma, which intraoperatively appeared to originate from the coccygeal nerve. CONCLUSION: In the present report, the authors demonstrate that a myxopapillary ependymoma may present as an isolated gluteal mass attached to the coccygeal nerve, without frank CNS involvement. Furthermore, an interdisciplinary approach to surgical resection of this lesion appears to represent an effective treatment modality. Scientific Scholar 2021-03-30 /pmc/articles/PMC8053468/ /pubmed/33880235 http://dx.doi.org/10.25259/SNI_768_2020 Text en Copyright: © 2021 Surgical Neurology International https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Lien, Brian V. Brown, Nolan J. Himstead, Alexander S. Ball, Benjamin Z. Guillen, Aileen Acharya, Nischal Yi Yang, Chen Sahyouni, Ronald Perez-Rosendahl, Mari Stitzlein, Russell N. Hsu, Frank P. K. Surgical management of a rare myxopapillary ependymoma of the gluteal region: A case report |
title | Surgical management of a rare myxopapillary ependymoma of the gluteal region: A case report |
title_full | Surgical management of a rare myxopapillary ependymoma of the gluteal region: A case report |
title_fullStr | Surgical management of a rare myxopapillary ependymoma of the gluteal region: A case report |
title_full_unstemmed | Surgical management of a rare myxopapillary ependymoma of the gluteal region: A case report |
title_short | Surgical management of a rare myxopapillary ependymoma of the gluteal region: A case report |
title_sort | surgical management of a rare myxopapillary ependymoma of the gluteal region: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8053468/ https://www.ncbi.nlm.nih.gov/pubmed/33880235 http://dx.doi.org/10.25259/SNI_768_2020 |
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