PMC7229405_01
Ulcerated mass in the sacrococcigeal area.
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Clinical examination revealed an ulcerated mass in the sacrococcigeal area (Fig. 1) and unilateral enlarged inguinal lymph nodes.
MRI imaging before neoadjuvant treatment (sagital view).
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Magnetic resonance imaging (MRI) showed a 107 x 45 x 37 mm mass infiltrating both gluteus major muscles and the last coccigeous vertebrae (Fig. 2).
MRI imaging after neoadjuvant treatment(sagital view).
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Surgical result after en-bloc resection.
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Surgery consisted in en-bloc resection of the tumor with presacral tissues, coccyx and partial gluteal resection (Fig. 4).
Cosmetic result after reconstructive surgery (one month after surgery).
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Cosmetic results are shown in Fig. 5.