CASE 24: Rectal cancer with sacral metastasis

• 64-year-old male patient
• History of surgery, chemotherapy, and radiotherapy for rectal cancer.
• The patient presented with complaints of tailbone pain, difficulty sitting and urinating, and tingling and numbness, particularly in the sole of the left foot.
• No additional metastases were found during scanning.
• Biopsy results showed metastasis of rectal cancer.
• Curettage and cementation were performed while preserving the sacral nerve roots. • The patient was discharged without complications.

Before surgery: Plain radiography shows a lytic lesion, MRI shows a soft tissue component and sacral root compression, CT scan shows bone destruction, and PET scan shows increased uptake.

Post-surgery: The X-ray shows bone cement applied in place of the removed tumor tissue.