Case Report

The Management of Sacral Schwannoma: Report of Four Cases and Review of Literature

Table 1

Clinical Summary of the patients.

Age/sexSymptoms/durationMRIF/U time (months)Follow-up

Case 1 62 F Sacral pain, radiates to rectal vault/8 monthsMulticystic lesions of S1-2, posteriorly invaded extradural, adjacent to thecal sac 27 Asymptomatic, no recurrence on MRI
Case 2 29 FLumbosacral pain, radiculopathy, and decrease sensation of Rt. leg and Lt. thigh, decrease perianal sensation, urinary hesitancy, constipation/5 years Solid-cystic lesions of S2-4, anterior extension21Asymptomatic in lumbosacral and radicular pain, subsequent improvement in urinary function, incomplete improvement on perianal sensation, amenorrhea, small residual tumor on MRI, nondisplaced fracture S1
Case 3 39 M Lumbosacral pain, radiculopathy of Lt. leg, loss sensation of Lt. great toe/2 years Solid dumbbell shape mass in S1-2, intrasacral 18Asymptomatic, no recurrence on MRI
Case 4 52 FLumbosacral pain, radicular pain of Rt. leg/6 yearsSolid mass of S1-2, anterior extension7Asymptomatic, small residual tumor with seroma on MRI