Primary epidural malignant hemangiopericytoma of thoracic spinal column causing cord compression: case report

CONTEXT: Hemangiopericytoma is an uncommon mesenchymal neoplasm that rarely affects the spinal canal. Primary malignant hemangiopericytoma of the spinal column is extremely rare. CASE REPORT: We report on a case of primary epidural malignant hemangiopericytoma of the thoracic spinal column that inva...

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Detalhes bibliográficos
Autores: Mohammadianpanah, Mohammad, Torabinejad, Simin, Bagheri, Mohammad Hadi, Omidvari, Shapour, Mosalaei, Ahmad, Ahmadloo, Niloofar
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2004
País:Brasil
Recursos:Associação Paulista de Medicina
Repositorio:São Paulo medical journal (Online)
Idioma:inglés
OAI Identifier:oai:ojs.diagnosticoetratamento.emnuvens.com.br:article/2537
Acesso em linha:https://periodicosapm.emnuvens.com.br/spmj/article/view/2537
Access Level:acceso abierto
Palavra-chave:Hemangiopericitoma
Vértebras torácicas
Neoplasias
Compressão nervosa
Laminectomia
Hemangiopericytoma
Thoracic vertebrae
Neoplasms
Nerve crush
Laminectomy
Descrição
Resumo:CONTEXT: Hemangiopericytoma is an uncommon mesenchymal neoplasm that rarely affects the spinal canal. Primary malignant hemangiopericytoma of the spinal column is extremely rare. CASE REPORT: We report on a case of primary epidural malignant hemangiopericytoma of the thoracic spinal column that invaded vertebral bone and caused spinal cord compression in a 21-year-old man. The patient presented with progressive back pain over a four-month period that progressed to paraparesis, bilateral leg paresthesia and urinary incontinence. The surgical intervention involved laminectomy and subtotal resection of the tumor, with posterior vertebral fixation. Postoperative involved-field radiotherapy was administered. A marked neurological improvement was subsequently observed. We describe the clinical, radiological, and histological features of this tumor and review the literature.