Sanromán-Álvarez Pablo, Simal-Julián Juan Antonio, Miranda-Lloret Pablo, Pérez-Borredá Pedro, Botella-Asunción Carlos
Departamento de Neurocirugía, Hospital Universitario y Politécnico La Fe, Valencia, España.
Departamento de Neurocirugía, Hospital Universitario y Politécnico La Fe, Valencia, España.
Neurocirugia (Astur). 2014 Mar-Apr;25(2):77-80. doi: 10.1016/j.neucir.2013.03.006. Epub 2013 May 31.
Cystic spinal lesions with characteristic patterns, such as the presence of haematic fluid-fluid levels (H-FFL), have been associated with many tumoral lineages, more frequently with aneurysmal bone cyst (ABC) and exceptionally with metastasis. We present the case of a 60-year-old man with the finding of a sacral cystic bone lesion with H-FFL, with initial suspicion of ABC and confirmed diagnosis of metastasis. The case presented is, to our knowledge, the second case published of spinal cystic bone metastasis with H-FFL pattern with unknown primary tumour at the time of diagnosis and the only one that received resective surgical treatment, achieving pulmonary and metastatic disease control with good quality of life after 1 year of follow up.
具有特征性表现的脊柱囊性病变，如存在血性液-液平面（H-FFL），与多种肿瘤谱系相关，最常见于骨动脉瘤性囊肿（ABC），罕见于转移瘤。我们报告一例60岁男性，发现骶骨囊性骨病变伴有H-FFL，最初怀疑为ABC，最终确诊为转移瘤。据我们所知，该病例是第二例发表的具有H-FFL表现的脊柱囊性骨转移瘤，诊断时原发肿瘤不明，且是唯一接受手术切除治疗的病例，随访1年后肺部及转移病灶得到控制，生活质量良好。
