Chu Ming, Li Guozhong, Wei Lanlan, Lin Youzhi, Qi Jiping, Wang Chao, Zhao Shiguang
Department of Neurosurgery, the First Affiliated Hospital, Harbin Medical University, Harbin, China.
Spine (Phila Pa 1976). 2007 Jan 1;32(1):E48-51. doi: 10.1097/01.brs.0000250992.55556.fe.
A case report.
To report and discuss a case of lymphangioma in the epidural space of the cervicothoracic spine.
Lymphangioma of the soft tissue is not uncommon, but lymphangiomas presenting as a spinal soft tissue tumor in the epidural space are extremely rare.
A 61-year-old woman with pain and numbness in the left arm. Magnetic resonance imaging demonstrated a half ring-shaped soft tissue mass in the left epidural space from the C6 to T1 level. The patient underwent osteoplastic laminectomy from C6 to T1. Histopathologic diagnosis of the resected tumor was cavernous lymphangioma.
One year after the operation, the patient reported mild pain in left upper limb, but there was no evidence of local recurrence on magnetic resonance imaging.
To the authors' knowledge, this is an extremely rare reported case of lymphangioma presenting as a spinal soft tissue tumor in the cervicothoracic epidural space. Further observation is recommended because of the possibility of local recurrence.
病例报告。
报告并讨论一例发生于颈胸段脊柱硬膜外间隙的淋巴管瘤病例。
软组织淋巴管瘤并不少见，但表现为脊柱硬膜外间隙软组织肿瘤的淋巴管瘤极为罕见。
一名61岁女性，出现左臂疼痛和麻木症状。磁共振成像显示在C6至T1水平的左侧硬膜外间隙有一个半环形软组织肿块。患者接受了C6至T1的椎板成形术。切除肿瘤的组织病理学诊断为海绵状淋巴管瘤。
术后一年，患者报告左上肢有轻度疼痛，但磁共振成像未显示局部复发迹象。
据作者所知，这是一例极为罕见的报告病例，淋巴管瘤表现为颈胸段硬膜外间隙的脊柱软组织肿瘤。鉴于存在局部复发的可能性，建议进一步观察。
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