Sacral lesions

Changed by Henry Knipe, 11 May 2020

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A very wide range of lesions can occur in and around the sacrum.

Tumours

primary sacral tumours
- malignant
  - sacral chordoma: most common primary sacral tumour ¹
  - chondrosarcoma
  - Ewing sarcoma / pPNET
  - osteosarcoma: often arises from Paget's disease in this location
  - multiple myeloma/plasmacytoma
- benign
  - giant cell tumour of bone: 2^nd most common primary sacral tumour ¹
  - aneurysmal bone cyst
  - osteoid osteoma
  - osteoblastoma: accounts for ~17% of spinal osteoblastoma(s) ²
  - cavernous haemangioma of sacrum
neural tumours arising in sacral canal
pre-sacral tumours
- germ cell tumours
  - sacrococcygeal teratoma
  - sacrococcygeal yolk sac tumour
metastases to the sacrum

Developmental lesions

spinal dysraphism
- sacral meningocele
- sacral myelomeningocele
- sacral lipomyelomeningocele

Other lesions

Paget disease affecting the sacrum

Syndromes

Currarino triad

~~-<a href="/articles/sacral-chordoma">sacral chordoma</a>: most common primary sacral tumour <sup>1</sup>~~
+<a title="Chordoma" href="/articles/chordoma">sacral chordoma</a>: most common primary sacral tumour <sup>1</sup>
~~-<li><a title="sacrococccygeal yolk sac tumour" href="/articles/sacrococccygeal-yolk-sac-tumour">sacrococccygeal yolk sac tumour</a></li>~~
+<li><a href="/articles/sacrococccygeal-yolk-sac-tumour">sacrococcygeal yolk sac tumour</a></li>

Systems changed:

Spine

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