PMC5299146_01
Adult sacral meningocele with yellowish slough over it
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F1
Inspection showed a swelling in the sacral region of 5 cm in diameter, consisting of cauliflower-shaped swelling with yellowish slough [Figure 1].
(a, b) Magnetic resonance imaging of the spine (T1, T2 sagittal view) showing sacral meningocele
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F2
Magnetic resonance imaging (MRI) showed sacral meningocele with sinus tract [Figure 2a and b].
Operative photograph showing the swelling being excised
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F3
The tumor was excised, dural attachment was removed, and dura was closed again [Figure 3].
Photomicrograph shows tumor cells arranged in sheets and central keratin pearl (marked arrow), which is suggestive of it being squamous cell carcinoma (H and E stain, x400)
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F4
The tissue sections were stained in hematoxylin and eosin (H and E) stain, and the histopathology study revealed tumor cells arranged in sheets and nests with keratin pearl formation [Figure 4], suggestive of well-differentiated squamous cell carcinoma.