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Kouhen F, Mjabbar R, Alami R, El Gouach H, Cherkaoui Jaouad MR, Benslima N, Mahdi Y, El Khannoussi B, Fliyou F, Errafiy N, El Azhari A, Ismaili N. Unusual location of myxopapillary ependymoma in the sacrum: Case report and review of the literature. Radiol Case Rep 2024; 19:1489-1495. [PMID: 38312753 PMCID: PMC10835126 DOI: 10.1016/j.radcr.2023.12.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2023] [Revised: 11/30/2023] [Accepted: 12/06/2023] [Indexed: 02/06/2024] Open
Abstract
Myxopapillary ependymoma, a rare variant of ependymoma, commonly occurs in the conus medullaris or filum terminale. The rarity of these tumors can make their diagnosis and treatment challenging. This case report presents an atypical occurrence of myxopapillary ependymoma within the sacrum in a 68-year-old patient presented with a 3-month history of persistent left-sided low back pain radiating to the legs and fecal dysfunction. The patient underwent a sacral laminectomy and subtotal excision of the tumor, followed by adjuvant radiotherapy with favorable outcomes. This report highlights the significance of tailored approaches for unconventional tumor locations emphasizes the potential benefits of multimodal treatment strategies and provides insights from a comprehensive literature review on similar cases.
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Affiliation(s)
- Fadila Kouhen
- Radiotherapy Department, Cheikh Khalifa International University Hospital, Mohammed VI University of Sciences and Health (UM6SS). Casablanca, Morocco
- Laboratory of Neurosciences and Oncogenetics, Neurooncology and Oncogenetic Team, Mohammed VI Center for Research & Innovation
| | - Reyzanne Mjabbar
- Radiotherapy Department, Cheikh Khalifa International University Hospital, Mohammed VI University of Sciences and Health (UM6SS). Casablanca, Morocco
| | - Rim Alami
- Radiotherapy Department, Cheikh Khalifa International University Hospital, Mohammed VI University of Sciences and Health (UM6SS). Casablanca, Morocco
| | - Hanae El Gouach
- Radiotherapy Department, Cheikh Khalifa International University Hospital, Mohammed VI University of Sciences and Health (UM6SS). Casablanca, Morocco
- Laboratory of Neurosciences and Oncogenetics, Neurooncology and Oncogenetic Team, Mohammed VI Center for Research & Innovation
| | - Mohammed Reda Cherkaoui Jaouad
- Radiology Department, Cheikh Khalifa International University Hospital, Mohammed VI University of Sciences and Health (UM6SS), Casablanca, Morocco
| | - Najwa Benslima
- Radiology Department, Cheikh Khalifa International University Hospital, Mohammed VI University of Sciences and Health (UM6SS), Casablanca, Morocco
| | - Youssef Mahdi
- Pathology Department, National Institute of Oncology, Rabat, Morocco
| | | | - Fadwa Fliyou
- Neurosurgical Department, Cheikh Khalifa International University Hospital, Mohammed VI University of Sciences and Health (UM6SS), Casablanca, Morocco
| | - Nadia Errafiy
- Laboratory of Neurosciences and Oncogenetics, Neurosciences and Cellular Physiology Team, Mohammed VI Center for Research & Innovation
| | - Abdessamad El Azhari
- Neurosurgical Department, Cheikh Khalifa International University Hospital, Mohammed VI University of Sciences and Health (UM6SS), Casablanca, Morocco
| | - Nabil Ismaili
- Oncology Department, Cheikh Khalifa International University Hospital, Mohammed VI University of Sciences and Health (UM6SS), Casablanca, Morocco
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