CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2019; 54(03): 347-352
DOI: 10.1055/s-0039-1692450
Relato de Caso | Case Report
Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revnter Publicações Ltda Rio de Janeiro, Brazil

Inoperable Sacral Giant Cell Tumor: Therapeutic Options and Pain Control[*]

Article in several languages: português | English
Eneida de Mattos Brito Oliveira Viana
1  Rede Sarah de Hospitais de Reabilitação, Brasília, DF, Brasil
,
1  Rede Sarah de Hospitais de Reabilitação, Brasília, DF, Brasil
,
José Leite Carneiro Junior
1  Rede Sarah de Hospitais de Reabilitação, Brasília, DF, Brasil
› Author Affiliations
Further Information

Publication History

04 January 2018

07 May 2018

Publication Date:
27 June 2019 (online)

Abstract

Sacral giant cell tumor (GCT) is a rare condition. Its treatment is complex, since surgical removal is difficult and the response to other therapeutic options is low. The control of its growth and pain is an additional challenge. The present paper reports a case of inoperable sacral GCT, with embolization and radiotherapy for pain control as therapeutic options. The patient, a 39-year-old male, presented pain in the sacral region with lower limb irradiation due to an inoperable sacral giant cell tumor. The patient was submitted to embolization, radiotherapy, pain management with opioids and other drugs, and a rehabilitation program. Despite the difficulty in tumor growth and pain control during the follow-up, the outcome is stable after 9 years.

* Work performed at Rede Sarah de Hospitais de Reabilitação, Brasília, DF, Brazil, and presented at the Instituto de Ensino e Pesquisa from the Hospital Sírio Libanês to obtain the certification as a specialist in the care of patients with pain.