Skeletal Radiology

, Volume 37, Issue 4, pp 277–289 | Cite as

Imaging of sacral tumours

  • S. GerberEmail author
  • L. Ollivier
  • J. Leclère
  • D. Vanel
  • G. Missenard
  • H. Brisse
  • G. de Pinieux
  • S. Neuenschwander
Review Article


All components of the sacrum (bone, cartilage, bone marrow, meninges, nerves, notochord remnants, etc.) can give rise to benign or malignant tumours. Bone metastases and intraosseous sites of haematological malignancies, lymphoma and multiple myeloma are the most frequent aetiologies, while primary bone tumours and meningeal or nerve tumours are less common. Some histological types have a predilection for the sacrum, especially chordoma and giant cell tumour. Clinical signs are usually minor, and sacral tumours are often discovered in the context of nerve root or pelvic organ compression. The roles of conventional radiology, CT and MRI are described and compared with the histological features of the main tumours. The impact of imaging on treatment decisions and follow-up is also reviewed.


Sacrum Bone tumour CT MRI PET 


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Copyright information

© ISS 2007

Authors and Affiliations

  • S. Gerber
    • 1
    Email author
  • L. Ollivier
    • 1
  • J. Leclère
    • 2
  • D. Vanel
    • 3
  • G. Missenard
    • 4
  • H. Brisse
    • 1
  • G. de Pinieux
    • 5
  • S. Neuenschwander
    • 1
  1. 1.Department of RadiologyInstitut CurieParisFrance
  2. 2.Department of RadiologyInstitut Gustave RoussyVillejuifFrance
  3. 3.Department of RadiologyThe Rizzoli InstituteBolognaItaly
  4. 4.Comité de pathologie tumorale de l’appareil locomoteurInstitut Gustave RoussyVillejuifFrance
  5. 5.Department of Pathology, Hôpital TrousseauCHRU de ToursToursFrance

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