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腰椎血管脂肪瘤

Angiolipoma on the Lumbar Spine.

作者信息

Kang Hee Il, Kim Tae Wan, Kim Eun Ju, Park Kwan Ho

机构信息

Department of Neurosurgery, VHS Medical Center, Seoul, Korea.

Department of Pathology, VHS Medical Center, Seoul, Korea.

出版信息

Korean J Spine. 2017 Sep;14(3):112-114. doi: 10.14245/kjs.2017.14.3.112. Epub 2017 Sep 30.

Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cf2/5642094/4e00e37cf95a/kjs-14-3-112f1.jpg

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