Okada Eijiro, Matsumoto Morio, Nishida Mitsuhiro, Iga Takahito, Morishita Midori, Tezuka Masaki, Mukai Kiyoshi, Kobayashi Eisuke, Watanabe Kota
Department of Orthopaedic Surgery, Saiseikai Central Hospital, Tokyo, Japan.
Department of Orthopaedic surgery, Keio University, Tokyo, Japan.
J Spinal Cord Med. 2019 Nov;42(6):800-805. doi: 10.1080/10790268.2017.1390032. Epub 2017 Oct 25.
Osseous epithelioid hemangioma is uncommon, and reports of epithelioid hemangiomas of the spine are especially rare. Case report. A 43-year-old male was referred to our department with progressive gait disturbance. CT scans showed a lucent mass in the vertebral body at the T3 level. MRI of the thoracic spine showed a strongly enhanced mass compressing the spinal cord. The patient underwent laminectomy from T2 to T4, debulking of the tumor, and posterior fusion from T1 to T5. After the operation, the patient's neurological status improved significantly, and he was able walk without assistance. Histological examination determined that the tumor was an epithelioid hemangioma. The patient was treated with 40 Gy radiation for local control of the tumor. The patient could walk without difficulty 12 months after the surgery. This is a rare example of an epithelioid hemangioma that developed in the thoracic spine and compressed the spinal cord, and was treated successfully.
骨上皮样血管瘤较为罕见，关于脊柱上皮样血管瘤的报道更是稀少。病例报告。一名43岁男性因进行性步态障碍转诊至我科。CT扫描显示T3椎体有一透亮肿块。胸椎MRI显示一明显强化的肿块压迫脊髓。患者接受了T2至T4椎板切除术、肿瘤减瘤术以及T1至T5后路融合术。术后，患者神经功能显著改善，能够独立行走。组织学检查确定肿瘤为上皮样血管瘤。患者接受了40 Gy的放疗以局部控制肿瘤。术后12个月患者能够顺利行走。这是一例罕见的发生于胸椎并压迫脊髓的上皮样血管瘤且成功治愈的病例。
