Lynch J J, Parvizi J, Scheithauer B W, Krauss W E
Department of Neurosurgery, Mayo Clinic, Rochester, Minnesota 55905, USA.
J Neurosurg. 1999 Jan;90(1 Suppl):121-4. doi: 10.3171/spi.1999.90.1.0121.
The authors report the case of an adult female patient who developed a paraspinous thoracic fibromatosis (desmoid tumor) after undergoing resection of an intraspinal thoracic meningioma that was complicated by postoperative wound infection. To the best of the authors' knowledge, this is the first report of such a tumor occurring after resection of a spinal meningioma. Awareness of the development of postoperative fibromatosis and recognition of its association with wound sepsis is important. Although rare, this distinctive lesion should be considered in the differential diagnosis of the apparent rapid regrowth of otherwise indolent lesions including meningioma.
作者报告了一例成年女性患者,该患者在接受胸椎椎管内脊膜瘤切除术后发生了术后伤口感染并发症,随后出现了椎旁胸段纤维瘤病(硬纤维瘤)。据作者所知,这是首例关于脊膜瘤切除术后发生此类肿瘤的报告。认识术后术后切除术后纤维瘤病的发生并认识到其与伤口脓毒症的关联很重要。尽管罕见,但在包括脊膜瘤在内的原本生长缓慢的病变出现明显快速复发的鉴别诊断中,应考虑这种独特的病变。