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脊髓肿瘤:罕见部位的原发性颈段硬膜外脑膜瘤。

Spinal tumour: primary cervical extradural meningioma at an unusual location.

作者信息

Pant Ishita, Gautam Vinod Kumar Singh, Kumari Rima, Chaturvedi Sujata

机构信息

Department of Pathology, Institute of Human Behaviour and Allied Sciences, Delhi, India.

Department of Neurosurgery, Institute of Human Behaviour and Allied Sciences, Delhi, India.

出版信息

J Spine Surg. 2017 Sep;3(3):509-513. doi: 10.21037/jss.2017.08.11.

Abstract

Extradural spinal meningiomas are extremely rare, more so in the cervical region. A purely extradural location as reported in this paper is quite exceptional. The authors report a case of extradural meningioma in a 50-year-old male located in the cervical spine that was surgically treated with the provisional diagnosis of a neurofibroma. Histopathological diagnosis of meningothelial meningioma was made with the routine hematoxylin and eosin (HE) stain. The origin, clinical course, radiological features, pathological findings with the differential diagnosis and surgical treatment are discussed based on a review of the literature. An extradural spinal meningioma, an extremely rare entity, is still a diagnostic dilemma on radiology as the radiologic findings overlap with many other common extradural spinal masses.

摘要

硬脊膜外脊膜瘤极为罕见,在颈椎区域更为少见。本文所报道的纯粹硬脊膜外位置相当特殊。作者报告了一例50岁男性颈椎硬脊膜外脊膜瘤病例,该病例最初被临时诊断为神经纤维瘤并接受了手术治疗。通过常规苏木精和伊红(HE)染色做出了脑膜皮型脊膜瘤的组织病理学诊断。基于文献回顾,讨论了其起源、临床过程、放射学特征、病理结果及鉴别诊断和手术治疗。硬脊膜外脊膜瘤是一种极为罕见的疾病,在放射学上仍是一个诊断难题,因为其放射学表现与许多其他常见的硬脊膜外脊柱肿块重叠。

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引用本文的文献

本文引用的文献

1
Extradural spinal meningioma: Revisiting a rare entity.硬脊膜外脊膜瘤:重新审视一种罕见疾病。
J Craniovertebr Junction Spine. 2016 Jan-Mar;7(1):65-8. doi: 10.4103/0974-8237.176630.
4
Uncommon progression of an extradural spinal meningioma.硬脊膜外脊膜瘤的罕见进展
Case Rep Surg. 2014;2014:630876. doi: 10.1155/2014/630876. Epub 2014 Aug 27.
5
Extradural en-plaque spinal meningioma with intraneural invasion.硬膜外板内型脊髓脑膜瘤伴神经内侵犯。
World Neurosurg. 2012 Jan;77(1):202.e5-13. doi: 10.1016/j.wneu.2011.03.047. Epub 2011 Nov 19.
6
Case 100: spinal epidural meningioma.病例100:脊髓硬膜外脑膜瘤。
Radiology. 2006 Nov;241(2):614-7. doi: 10.1148/radiol.2412040203.
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Epidural spinal meningioma. Role of magnetic resonance in differential diagnosis.
Acta Neurochir (Wien). 1990;107(1-2):70-3. doi: 10.1007/BF01402617.

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