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CASE 24: Presacral Desmoplastic Small Round Cell Sarcoma
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A patient presented with pain in the coccyx area and difficulty sitting. Physical examination and radiological studies revealed a soft tissue tumor in the presacral region. Needle biopsy performed under ultrasound guidance revealed a soft tissue sarcoma.Desmoplastic Small Round Cell SarcomaAfter the patient was diagnosed and scans showed no metastases, we performed surgery to remove the tumor with clear margins via wide resection following radiotherapy.
Preoperative: MRI shows an irregular, heterogeneous mass located in the presacral region on the left.
Pre-operative: Increased activity is seen on PET-CT.
Surgical Incision: The image shows the sacrum being cut with a Gigli wire and the clinical appearance of the removed tumor tissue.
