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Findings that shed new light on the possible pathogenesis of a disease or an adverse effect
CASE REPORT
‘Trident sign’ in pelvis: sinister sign with poor prognosis
  1. Laxmikant Gupta,
  2. Mukesh Yadav,
  3. Sanjay Thulkar
  1. Department of Radiodiagnosis and Imaging, BRAIRCH, All India Institute of Medical Sciences, New Delhi, India
  1. Correspondence to Dr Mukesh Yadav, mukeshyadav11{at}gmail.com

Summary

The perineural spread of the cancer through the lumbosacral plexus gives an appearance of ‘trident sign’ on contrast-enhanced CT scan and MRI. It is associated with adverse survival rates and carries a poor prognostic value.

  • perineural spread
  • computed tomography
  • cervical cancer
  • lumbosacral plexopathy

https://doi.org/10.1136/bcr-2017-220460

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    Footnotes

    • Contributors LG: Reported and diagnosed the case report. MY: Edited and planned the case report. ST: Guided and discussed the case report.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.