J P Lavrador1, E Oliveira2, L Neto3, J Pimentel4, A F Francisco2, S Livraghi5. 1. Neurosurgical Department, Hospital Santa Maria, CHLN, Lisbon, Portugal. Electronic address: jose.pedro.lavrador@gmail.com. 2. Neurosurgical Department, Hospital Santa Maria, CHLN, Lisbon, Portugal. 3. Neuroradiology Department, Hospital Santa Maria, CHLN, Lisbon, Portugal. 4. Neuropathology Laboratory, Neurology Department, Hospital Santa Maria, CHLN, Lisbon, Portugal. 5. Neurosurgical Department, Hospital Santa Maria, CHLN, Lisbon, Portugal; Champalimaud Cancer Centre, Lisbon, Portugal.
Abstract
INTRODUCTION: Spinal solitary fibrous tumors are rare entities, particularly when considered in a dumbbell-shaped form. CASE DESCRIPTION: The authors report on a 23-year-old female patient with dorsalgia and a D11-D12 dumbbell-shaped lesion on MRI, and highly vascularized on angiography. After a biopsy-based diagnosis, an integrated approach was performed with a preoperative embolization of the feeding intercostal arteries and an en bloc resection. At 3 months postoperatively, the patient had no pain or other neurologic symptoms and a complete resection was performed and documented on MRI. CONCLUSION: To our knowledge, only 3 previous reports of dumbbell-shaped spinal solitary fibrous tumors were carried-out and this is the first case, to our knowledge, treated by pre-operatory embolization. Nevertheless, this tumor should be considered among other spinal dumbbell-shaped lesions with a differential diagnosis, i.e. meningioma and schwannoma.
INTRODUCTION:Spinal solitary fibrous tumors are rare entities, particularly when considered in a dumbbell-shaped form. CASE DESCRIPTION: The authors report on a 23-year-old female patient with dorsalgia and a D11-D12 dumbbell-shaped lesion on MRI, and highly vascularized on angiography. After a biopsy-based diagnosis, an integrated approach was performed with a preoperative embolization of the feeding intercostal arteries and an en bloc resection. At 3 months postoperatively, the patient had no pain or other neurologic symptoms and a complete resection was performed and documented on MRI. CONCLUSION: To our knowledge, only 3 previous reports of dumbbell-shaped spinal solitary fibrous tumors were carried-out and this is the first case, to our knowledge, treated by pre-operatory embolization. Nevertheless, this tumor should be considered among other spinal dumbbell-shaped lesions with a differential diagnosis, i.e. meningioma and schwannoma.
Authors: Marisa Brum; Hipólito Nzwalo; Edson Oliveira; Maria Rita Pelejão; Pedro Pereira; João Paulo Farias; José Pimentel Journal: Asian J Neurosurg Date: 2018 Apr-Jun