A Rare Case of Radiculopathy: Monostotic Fibrous Dysplasia of the Sacrum
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Publication Date: | 2019 |
Other Authors: | , , |
Format: | Article |
Language: | eng |
Source: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Download full: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9331 |
Summary: | Fibrous dysplasia is a bone disease characterized by an osteoblastic dysfunction resulting in a fibrous replacement of the normal medullary bone. We describe the case of a 33-year-old who presented with low back pain irradiating to her right leg. Both the computed tomography scan and magnetic resonance imaging showed an osteolytic, multicystic lesion of the right hemi-sacrum with invasion of the right S1 foramen. She underwent foraminotomy and curettage of the lesion. Histological diagnosis was fibrous dysplasia, without features of malignant transformation. Three years after surgery the patient is asymptomatic and imaging is stable. This is the fifth known case of monostotic fibrous dysplasia involving the sacrum, a rare entity that must be considered in the differential diagnosis when approaching patients with sacral lesions. |
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A Rare Case of Radiculopathy: Monostotic Fibrous Dysplasia of the SacrumUm Caso Raro de Radiculopatia: Displasia Fibrosa Monostótica do SacroFibrous DysplasiaMonostoticRadiculopathySacrumDisplasia Fibrosa MonostóticaRadiculopatiaSacroFibrous dysplasia is a bone disease characterized by an osteoblastic dysfunction resulting in a fibrous replacement of the normal medullary bone. We describe the case of a 33-year-old who presented with low back pain irradiating to her right leg. Both the computed tomography scan and magnetic resonance imaging showed an osteolytic, multicystic lesion of the right hemi-sacrum with invasion of the right S1 foramen. She underwent foraminotomy and curettage of the lesion. Histological diagnosis was fibrous dysplasia, without features of malignant transformation. Three years after surgery the patient is asymptomatic and imaging is stable. This is the fifth known case of monostotic fibrous dysplasia involving the sacrum, a rare entity that must be considered in the differential diagnosis when approaching patients with sacral lesions.A displasia fibrosa é uma doença óssea caracterizada por uma disfunção osteoblástica que resulta na substituição do osso medular normal por tecido fibroso. Descrevemos o caso de uma doente de 33 anos que se apresentou com lombalgia e ciatalgia direita. A tomografia computorizada e ressonância magnética lombares revelaram uma lesão osteolítica e multiquística no hemissacro direito com invasão do foramen de S1. A doente foi submetida a foraminotomia e curetagem da lesão. O diagnóstico histológico foi de displasia fibrosa, sem sinais de transformação maligna. Três anos após a cirurgia, a doente está assintomática e os estudos de imagem apresentam estabilidade da lesão. Este é o quinto caso conhecido na literatura de displasia fibrosa monostótica com atingimento do sacro, uma entidade rara que deve ser considerada no diagnóstico diferencial de doentes com lesões do sacro.Ordem dos Médicos2019-06-28info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/vnd.openxmlformats-officedocument.wordprocessingml.documentapplication/pdfapplication/pdfapplication/mswordapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9331oai:ojs.www.actamedicaportuguesa.com:article/9331Acta Médica Portuguesa; Vol. 32 No. 6 (2019): June; 466-468Acta Médica Portuguesa; Vol. 32 N.º 6 (2019): Junho; 466-4681646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9331https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9331/5716https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9331/9549https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9331/9552https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9331/10697https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9331/10698https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9331/10716Direitos de Autor (c) 2019 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessTeixeira, Joaquim CruzSimão, Diogo CardosoPimentel, JoséLivraghi, Sérgio2022-12-20T11:05:44Zoai:ojs.www.actamedicaportuguesa.com:article/9331Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:19:42.208542Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
A Rare Case of Radiculopathy: Monostotic Fibrous Dysplasia of the Sacrum Um Caso Raro de Radiculopatia: Displasia Fibrosa Monostótica do Sacro |
title |
A Rare Case of Radiculopathy: Monostotic Fibrous Dysplasia of the Sacrum |
spellingShingle |
A Rare Case of Radiculopathy: Monostotic Fibrous Dysplasia of the Sacrum Teixeira, Joaquim Cruz Fibrous Dysplasia Monostotic Radiculopathy Sacrum Displasia Fibrosa Monostótica Radiculopatia Sacro |
title_short |
A Rare Case of Radiculopathy: Monostotic Fibrous Dysplasia of the Sacrum |
title_full |
A Rare Case of Radiculopathy: Monostotic Fibrous Dysplasia of the Sacrum |
title_fullStr |
A Rare Case of Radiculopathy: Monostotic Fibrous Dysplasia of the Sacrum |
title_full_unstemmed |
A Rare Case of Radiculopathy: Monostotic Fibrous Dysplasia of the Sacrum |
title_sort |
A Rare Case of Radiculopathy: Monostotic Fibrous Dysplasia of the Sacrum |
author |
Teixeira, Joaquim Cruz |
author_facet |
Teixeira, Joaquim Cruz Simão, Diogo Cardoso Pimentel, José Livraghi, Sérgio |
author_role |
author |
author2 |
Simão, Diogo Cardoso Pimentel, José Livraghi, Sérgio |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Teixeira, Joaquim Cruz Simão, Diogo Cardoso Pimentel, José Livraghi, Sérgio |
dc.subject.por.fl_str_mv |
Fibrous Dysplasia Monostotic Radiculopathy Sacrum Displasia Fibrosa Monostótica Radiculopatia Sacro |
topic |
Fibrous Dysplasia Monostotic Radiculopathy Sacrum Displasia Fibrosa Monostótica Radiculopatia Sacro |
description |
Fibrous dysplasia is a bone disease characterized by an osteoblastic dysfunction resulting in a fibrous replacement of the normal medullary bone. We describe the case of a 33-year-old who presented with low back pain irradiating to her right leg. Both the computed tomography scan and magnetic resonance imaging showed an osteolytic, multicystic lesion of the right hemi-sacrum with invasion of the right S1 foramen. She underwent foraminotomy and curettage of the lesion. Histological diagnosis was fibrous dysplasia, without features of malignant transformation. Three years after surgery the patient is asymptomatic and imaging is stable. This is the fifth known case of monostotic fibrous dysplasia involving the sacrum, a rare entity that must be considered in the differential diagnosis when approaching patients with sacral lesions. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-06-28 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
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publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9331 oai:ojs.www.actamedicaportuguesa.com:article/9331 |
url |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9331 |
identifier_str_mv |
oai:ojs.www.actamedicaportuguesa.com:article/9331 |
dc.language.iso.fl_str_mv |
eng |
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eng |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9331 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9331/5716 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9331/9549 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9331/9552 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9331/10697 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9331/10698 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9331/10716 |
dc.rights.driver.fl_str_mv |
Direitos de Autor (c) 2019 Acta Médica Portuguesa info:eu-repo/semantics/openAccess |
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Direitos de Autor (c) 2019 Acta Médica Portuguesa |
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openAccess |
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application/pdf application/vnd.openxmlformats-officedocument.wordprocessingml.document application/pdf application/pdf application/msword application/pdf |
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Ordem dos Médicos |
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Ordem dos Médicos |
dc.source.none.fl_str_mv |
Acta Médica Portuguesa; Vol. 32 No. 6 (2019): June; 466-468 Acta Médica Portuguesa; Vol. 32 N.º 6 (2019): Junho; 466-468 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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