Sacral lesions

Last revised by Abanindu Thakur on 19 Sep 2021

Citation, DOI, disclosures and article data

Citation:

Weerakkody Y, Thakur A, Bell D, et al. Sacral lesions. Reference article, Radiopaedia.org (Accessed on 28 Apr 2024) https://doi.org/10.53347/rID-10917

DOI:

https://doi.org/10.53347/rID-10917

Permalink:

https://radiopaedia.org/articles/10917

rID:

10917

Article created:

1 Oct 2010, Yuranga Weerakkody ◉

Disclosures:

At the time the article was created Yuranga Weerakkody had no recorded disclosures.

View Yuranga Weerakkody's current disclosures

Last revised:

19 Sep 2021, Abanindu Thakur

Disclosures:

At the time the article was last revised Abanindu Thakur had no recorded disclosures.

View Abanindu Thakur's current disclosures

Revisions:

9 times, by 8 contributors - see full revision history and disclosures

Systems:

Musculoskeletal, Spine

Sections:

Gamuts

Synonyms:

Lesions of the sacrum
Differential diagnosis of sacral lesions

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

Tumors

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

References

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