Low-Grade Fibromyxoid Sarcoma in the Left Gluteal Region Presenting as Sciatic Nerve Pain

• 作者: Kazuhiko Hashimoto Kensuke Toriumi Masao Akagi Shunji Nishimura Shunki Iemura Yukiko Hara
• 来源期刊: 矫形学期刊(英文)
• 学科: 医学
• 关键词: Fibromyxoid SARCOMA SCIATIC NERVE Obscure TUMORS
• 年，卷（期）: jxxqkyw_2018,（4）
• 页码范围: 168-174
• 页数: 7页
• 分类号: R73

摘要

Low-grade fibromyxoid sarcoma is a slowly growing soft tissue neoplasm, mostly affecting young individuals. It usually arises in a deep soft tissue of the lower limbs and trunk, but few cases of low-grade fibromyxoid sarcoma that presents sciatic nerve pain have been reported. We report a 34-year-old woman with a low-grade fibromyxoid sarcoma originating in the left gluteal region that initially presented as sciatic nerve pain;she had experienced this type of pain for 5 years before visiting our hospital. Magnetic resonance imaging revealed a tumor in the left gluteal region. After needle biopsy revealed it to be a low-grade fibromyxoid sarcoma, we performed the wide resection. Intra-operative findings revealed no tumor invasion into the sciatic nerve. No recurrence or metastasis has been detected 6 months post-surgery. Oncologists who encounter patients with sciatic nerve pain should consider the possibility of less common causes such as the low-grade fibromyxoid sarcoma found in our patient.