Images in Clinical Radiology
Sacral chordoma
Authors:
M Behaeghe ,
Department of Radiology, Ghent University Hospital, Gent, Belgium, BE
A Denis,
Department of Radiology, Ghent University Hospital, Gent, Belgium, BE
L Jans,
Department of Radiology, Ghent University Hospital, Gent, Belgium, BE
K Verstraete
Department of Radiology, Ghent University Hospital, Gent, Belgium, BE
Abstract
A 38-year-old man was admitted to our hospital for deep sacral pain. There was no significant medical history. Physical examination revealed pressure pain of the right sacroiliac joint. MRI showed a midline mass in the sacrum (arrows), isointense on T1- weighted MR images and hyperintense on T2-weighted MR images (Fig. A-B), enhancing with gadolinium. Cortical destruction was present with an extraosseous soft tissue mass (arrowheads). A well-defined lesion with similar MRI signal was seen in the left groin (asterisk) (Fig. C). Diagnosis of sacral chordoma with distant metastasis was made.
Published on
01 Jan 2013.
Peer Reviewed
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