Lipedematous scalp: a rare dermatological entity.
(2011) JBR-BTR — Vol. 94, n° 2, p. 95 (2019)
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- Authors
Deprez, Fabrice 
- Abstract
- (en) A 57-year-old man presented with complaints of limping, sacral pain,left thigh hypoesthesia and occasionally left sciatic nerve irritation. Healso suffered from constipation and rectal pain. MRI series of the lumbar column were performed and revealed a volu-minous and expansive tumoral lesion focused on the 3rd, 4thand 5thsacralsegments. This soft tissue mass causes a massive but well delimitedsacral osteolysis. The lesion presents a low to intermediate T1-weightedsignal intensity (Fig. A – sagittal view) and high T2 and proton density-weighted signal intensity with internal septations (Fig. B1 – T2 ; B2 – PD-weighted). Enhancement of the internal septations and the pseudo -capsule of the tumor after contast materiel injection is also noted (Fig. C).These fe atures are very evocative of a sacroccygeal chordoma, a diag-nosis that was confirmed by surgical biopsy and pathologic examination.Unfortunately, our patient refused any surgical treatment or radiationtherapy and was lost to follow-up
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Citations
Bosschaert, P., & Deprez, F. (2011). Lipedematous scalp: a rare dermatological entity. JBR-BTR, 94(2), 95. https://hdl.handle.net/2078.5/95091 (Original work published 2019)