Medicina Fluminensis, Vol. 47 No. 3, 2011.
Short communication, Note
Epidermoid cyst in presacral space
Martina Džoić
; Odjel radiologije Županijske bolnice Orašje, Orašje, Bosna i Hercegovina
Jana Fila
; Odjel za dijagnostičku i intervencijsku radiologiju, Klinika za tumore, Zagreb
Mislav Čavka
; Klinički zavod za dijagnostičku i intervencijsku radiologiju, KB Dubrava, Zagreb
Mirjana Vukelić-Marković
; Klinički zavod za dijagnostičku i intervencijsku radiologiju, KB Dubrava, Zagreb
Boris Brkljačić
; Klinički zavod za dijagnostičku i intervencijsku radiologiju, KB Dubrava, Zagreb
Abstract
Aim: The aim of this article was to present a case of epidermoid cyst, which is a rare tumor in this area and has some specific imaging features. To our knowledge, intracranial
epidermoid cysts and its imaging features were often described, but only a few cases have been previously reported with imaging fetaures of presacral epidemoid cysts. Case report: A 32-year-old woman presented with symptoms of difficult labor, and during the childbirth, a large tumor pressing from behind in to the birth canal was noticed.
After recovery, multislice computerized tomography (MSCT) with intravenous contrast
administration was performed. A cystic lesion in the presacral space on the left side with thin ring enhancement and no internal enhancement was demonstrated. Further magnetic resonance imaging (MRI) showed morphologic features of epidermoid cyst with high protein content (heterogenous signal on T1W and T2W). Surgery was performed and pathohistological analysis confirmed the diagnosis of epidermoid cyst with high protein content. Discussion and conclusion: Developmental cysts in presacral space are rare and there is not much literature on radiomorphologic features of cysts in this area. Epidermoid cyst has certain morphologic features which can aid in setting the diagnosis.
Keywords
cyst; epidermoid; MRI; MSCT; presacral area; radiology
Hrčak ID:
71763
URI
Publication date:
5.9.2011.
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