Primary epithelioid hemangioendothelioma of the lumbar spine

详细信息	查看全文 | 推荐本文 |

• 作者：Anastasios Christodoulou ; Panagiotis D. Symeonidis ; Dimitrios Kapoutsis ; Fotis Iordanidis
• 关键词：Vascular tumours ; Epithelioid hemangioendothelioma ; Embolization ; Hemicorpectomy ; Titanium cage
• 刊名：The Spine Journal
• 出版年：2008
• 期刊代码：243_15299430
• 类别：med
• 出版时间：March-April 2008
• 卷：8
• 期：2
• 页码：385-390
• 文件大小：1188 K

摘要

Primary epitheliod hemangioendotheliomas of the lumbar spine are extremely rare tumors with an unpredictable clinical course.

Purpose

To present a case of primary lumbar epithelioid hemangioendothelioma and its treatment protocol.

Study design/setting

A tertiary Spinal Unit.

Patient sample

A previously healthy adult with persisting low back pain and neurologic deficit.

Methods

The diagnosis was confirmed by core needle biopsy. The patient was treated with preoperative embolization followed by staged surgery which included wide tumor resection and spinal fixation, using a cage system and a titanium plate anteriorly and a transpedicular fixation system posteriorly.

Results

Three years postoperatively the patient remains free of symptoms with no evidence of recurrence.

Conclusions

The treatment of these unpredictable tumors should be dictated by adherence to general oncologic principles.