Kang Hee Il, Kim Tae Wan, Kim Eun Ju, Park Kwan Ho
Department of Neurosurgery, VHS Medical Center, Seoul, Korea.
Department of Pathology, VHS Medical Center, Seoul, Korea.
Korean J Spine. 2017 Sep;14(3):112-114. doi: 10.14245/kjs.2017.14.3.112. Epub 2017 Sep 30.
Angiolipomas are composed of mature adipose tissue and blood vessels. Spinal angiolipomas are rare benign tumors with a good prognosis, and most symptoms are due to progressive compression of the spinal cord and root. The treatment of choice is total resection without any additional therapy. We report a case of an epidural angiolipoma on the lumbar spine in a 69-year-old man with weakness of the lower extremities. Lumbar magnetic resonance images revealed a well-enhanced epidural mass. He underwent laminectomy, and the tumor was completely removed. Pathologic examination confirmed the tumor was an angiolipoma. The patient's symptoms gradually improved postoperatively.
血管脂肪瘤由成熟的脂肪组织和血管组成。脊髓血管脂肪瘤是罕见的良性肿瘤,预后良好,大多数症状是由于脊髓和神经根的渐进性受压所致。首选的治疗方法是全切,无需任何额外治疗。我们报告一例69岁男性腰椎硬膜外血管脂肪瘤,伴有下肢无力。腰椎磁共振成像显示硬膜外肿块强化明显。他接受了椎板切除术,肿瘤被完全切除。病理检查证实肿瘤为血管脂肪瘤。患者术后症状逐渐改善。