Soft-tissue ependymomas are rare tumours, most often occurring dorsal
to the sacrum or coccyx, or in a presacral location. There is a wide a
ge range-children as well as adults are affected. The clinical diagnos
is is often that of a pilonidal sinus. Histologically, these tumours a
re usually of the myxopapillary type. They may recur locally, and up t
o 20% have been reported to produce distant metastases, most often in
the lymph nodes, lungs, liver or bone. There appear to be no clinical
or histological features that allow prediction of those tumours likely
to metastasize. Approximately 50 cases have been described in the med
ical literature1,2. We report three additional cases.