Some people experience pain and numbness in the area innervated by the bone nerve when sitting on one or both sides of the buttocks. They think it is caused by lumbar disc herniation or lumbar muscle strain and do not pay much attention to it. As the disease progressed, the sciatica became more and more severe, and later even led to abnormal urination and defecation functions. After going to the hospital for a check-up, I found out that I had a sacral tumor. This disease is difficult to detect in the early stages and is often misdiagnosed clinically. 1. What is a sacrococcygeal tumor? Common benign tumors of the sacrum include osteoblastoma, (osteoblastoma), giant cell tumor of bone and aneurysmal bone cyst, etc. Common malignant tumors of the sacrum include chordoma, chondrosarcoma, etc. Metastatic cancer to the sacrum is less common. 2. Early symptoms of sacrococcygeal tumors 1. Chordoma The disease progresses slowly, and the clinical manifestations are sacrococcygeal pain that sometimes radiates to the buttocks. Most patients have unilateral or bilateral sitting pain and numbness in the area innervated by the bony nerve. In a small number of patients, a sacrococcygeal tumor is the first manifestation. Clinically, it is easy to misdiagnose as common diseases such as lumbar disc herniation or lumbar muscle strain. In imaging, due to the interference of intestinal gas, the diagnosis of line film is somewhat difficult. Therefore, for patients with the above clinical manifestations, it is necessary to pay attention to exclude the possibility of sacral lesions. 2 Neurogenic Tumors Benign peripheral nerve tumors include Schwann cell tumors, peripheral nerve sheath tumors, and neurofibromas. The incidence of neurofibroma is higher than that of Schwann cell tumor. Neurogenic tumors occurring in the sacrum are rare because most neurogenic tumors grow outward from the spinal canal through the neural foramen and initially have no clinical symptoms. Generally, clinical symptoms will only appear when the tumor in the sacral canal is large. 3Sacral giant cell tumor Like chordoma, giant cell tumor of the sacrum is difficult to detect in the early stages. It will not compress the sacral nerve until it grows larger, which will manifest as abnormal urination and defecation function when sciatica is severe. Treatment of Sacrococcygeal Tumors 1. Prescription Codonopsis pilosula 9g, Astragalus membranaceus 9g, Radix Angelicae Sinensis 9g, Red Peony Root 9g, Atractylodes macrocephala 9g, Chuanduan 12.5g, Parasitic plant 31g, Vaccaria segetalis 9g, Oyster 31g, Prunella Vulgaris 12.5g, Tangerine peel 6g, Costus root 5g, Seaweed and Kelp 12.5g each (wrapped and decocted). At the same time, take Erhuang Pills (5 ml each), 1 pill per week. 2. Oral prescription Take 9g each of Corydalis yanhusuo, frankincense, myrrh, Salvia miltiorrhiza, safflower, Achyranthes bidentata, Dipsacus asper, and Leonurus japonicus, 6g each of Sappan wood and Sanguisorba officinalis, and 3g of Eupolyphaga sinensis. Decoction in water. External application medicine: 12.5g of angelica, 9g each of red peony root, catechu, realgar, aconite, and dragon's blood, 6g each of frankincense and myrrh, 2g of saffron, 3g of borneol, and 0.15g of musk. Grind it into powder and apply it to the affected area. Change it every 3 days, remove it, add a little new medicine and apply it again. 3. Folk remedies 30 grams of coix seed, 30 grams of mung bean, and 30 grams of red bean, cook them like porridge, eat the beans and drink the soup. Complications caused by sacrococcygeal tumor surgery. |
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