腰椎多灶性恶性纤维组织细胞瘤的席纹状-多形性类型
Storiform-pleomorphic type of multifocal malignant fibrous histiocytoma of the lumbar spine.
作者信息
Akpinar Aykut, Ozdemir Cengiz Omer, Ucler Necati, Inan Haci Mehmet
机构信息
Department of Neurosurgery, Adiyaman University Education and Research Hospital, Adiyaman, Turkey.
Department of Pathology, Adiyaman University Education and Research Hospital, Adiyaman, Turkey.
出版信息
Am J Case Rep. 2014 Dec 21;15:565-8. doi: 10.12659/AJCR.891290.
BACKGROUND
We present the extremely rare case of a 67-year-old male with malignant fibrous histiocytoma, arising in the lumbar spine, demonstrated with radiological and pathological studies.
CASE REPORT
The patient and his relatives refused open surgical approach and we performed transpedicular vertebral corpus biopsy and vertebroplasty under spinal anesthesia. His pathological result was malignant fibrous histiocytoma. The spine is a very uncommon site for malignant fibrous histiocytoma.
CONCLUSIONS
The management of malignant fibrous histiocytoma relies on the combination of maximum decompression surgery, chemotherapy and radiotherapy. Total removal is unrealistic and diagnosis is difficult. The prognosis in terms of continuing neurological deficit after surgery appears to be poor.
背景
我们报告了一例极为罕见的病例，一名67岁男性患有起源于腰椎的恶性纤维组织细胞瘤，通过影像学和病理学研究得以证实。
病例报告
患者及其亲属拒绝开放性手术入路，我们在脊髓麻醉下进行了经椎弓根椎体活检和椎体成形术。其病理结果为恶性纤维组织细胞瘤。脊柱是恶性纤维组织细胞瘤非常罕见的发病部位。
结论
恶性纤维组织细胞瘤的治疗依赖于最大程度减压手术、化疗和放疗的联合应用。完全切除不现实且诊断困难。术后持续存在神经功能缺损的预后似乎较差。
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