Güzey Feyza Karagöz, Emel Erhan, Bas N Serdar, Ozkan Nezih, Turgut Hurriyet, Sel Baris
Departments of Neurosurgery and Pathology, Vakif Gureba Training and Research Hospital, Istanbul, Turkey.
J Neurosurg Spine. 2006 Apr;4(4):338-41. doi: 10.3171/spi.2006.4.4.338.
This 50-year-old woman presented with a paravertebral lumbar fibromatosis (desmoid tumor) after undergoing the placement of instrumentation for lumbar spondylolisthesis. The tumor developed just cranial to the previous skin incision. Fibromatoses, or desmoid tumors, are uncommon infiltrative lesions that affect musculoaponeurotic structures, most often of the trunk and limbs. They are known to occur in association with surgery-related scars or implants and only rare examples appear in the neurosurgical and spine-related literature. In cases involving well-defined tumors in which radical resection is possible, surgery is the treatment of choice; however, the recurrence rate is high. The patient in the present case was followed for 14 months postoperatively and did not undergo radiotherapy; there was no recurrence. Although rare, this distinctive tumor should be considered in the differential diagnosis of postoperative paravertebral bulgings after neurosurgical and spinal operations.
这位50岁女性在接受腰椎滑脱内固定术后出现了椎旁腰椎纤维瘤病（硬纤维瘤）。肿瘤发生于先前皮肤切口的头侧。纤维瘤病或硬纤维瘤是一种罕见的浸润性病变，累及肌肉腱膜结构，最常见于躯干和四肢。已知其与手术相关瘢痕或植入物有关，仅在神经外科和脊柱相关文献中有罕见病例报道。对于肿瘤边界清晰且可行根治性切除的病例，手术是首选治疗方法；然而，复发率很高。本病例患者术后随访14个月，未接受放疗，未出现复发。尽管罕见，但在神经外科和脊柱手术后椎旁隆起的鉴别诊断中应考虑这种独特的肿瘤。
