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ARTICLE

Subcutaneous Sacrococcygeal Myxopapillary Ependymoma

Jin Young Chung,a, Sang Keol Leea, Ki Hwa Yanga and Mun Kab Songa

a From the Departments of Radiology (J.Y.C., M.K.S.), Neurosurgery (S.K.L.), and Anatomic Pathology (K.H.Y.), Eulji Medical College, TaeJeon, Korea.

Summary: We report a case of myxopapillary ependymoma presenting as a primary tumor of the subcutaneous tissue in the sacrococcygeal region. The mass was large, well-encapsulated, lobulated, and multiseptated, with varying signal intensity on T1- and T2-weighted MR images caused by hemorrhagic necrosis, blood degradation products, and calcification. Only a small viable portion enhanced after administration of contrast material. Multiple lobules formed from fibrous septa and dystrophic calcification also characterize this tumor.