Xanthoma of the sacrum

Guo Shu Huang, Chih Wang Huang, Chian Her Lee, John A M Taylor, Chih Gueng Lin, Cheng Yu Chen

研究成果: 雜誌貢獻文章同行評審

11 引文 斯高帕斯(Scopus)


Xanthoma is a lesion containing abundant foamy histiocytes most commonly occurring in superficial soft tissues such as skin, subcutis, or tendon sheaths. The involvement of deep skeletal structures, however, is rare and has only been infrequently reported in the English literature. Most xanthomas occur in patients with hyperlipidemic disorders. We report a case of a xanthoma in the sacrum and ilium of a patient with hyperlipidemia type IIa, who had chronic lower back pain for more than 20 years. On radiographs the lesion appeared multiloculated and osteolytic with a thin sclerotic border and containing multiple nodular calcifications within its matrix. Computed tomographic images revealed a presacral soft-tissue mass that also infiltrated the adjacent sacroiliac joint and iliac fossa. On histologic examination, abundant areas of xanthoma cells and cholesterol clefts, typical of xanthoma, were present. The patient received simple curettage of the lesion, and his symptoms were markedly relieved.
頁(從 - 到)674-678
期刊Skeletal Radiology
出版狀態已發佈 - 11月 2004

ASJC Scopus subject areas

  • 放射學、核子醫學和影像學
  • 放射與超音波技術


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