Luo Ning, He Xia, Li Guangzhou, Liao Yehui, Tang Qiang, Ye Rupei, Zhong Dejun
Department of Spinal Surgery, Affiliated Hospital of Southwest Medical University, Southwest Medical University, Luzhou, China.
Department of Pediatric Surgery, Affiliated Hospital of Southwest Medical University, Southwest Medical University, Luzhou, China.
World Neurosurg. 2019 Apr;124:151-156. doi: 10.1016/j.wneu.2019.01.001. Epub 2019 Jan 11.
Dumbbell-shaped tumor is a type of inner and outer cervical spinal canal tumor, and most of these are neurogenic. Desmoid tumors are rare, and, to the best of our knowledge, no case of desmoid tumors involving intervertebral foramen formed dumbbell-shaped tumors in the cervical spine have been reported before in English literature. Here we report a case of a desmoid tumor occurring in the cervical spine that is presented as a typical dumbbell-shaped tumor.
A 47-year-old woman was admitted to our department with a mass in the left side of her neck. The tumor was initially thought to be a neurogenic cervical dumbbell tumor based on physical and radiologic examination. Postoperative hematoxylin-eosin staining and immunohistochemical staining verified the diagnosis of a cervical dumbbell desmoid tumor, which, to our knowledge, had never been reported before. We report our experience and reviewed literature regarding desmoid tumor to share our experience and explore proper treatment options of such lesions.
Desmoid tumors in the head and neck may present as cervical dumbbell-shaped tumors. Before the treatment plan was made, thorough examinations, including surgical pathology, were necessary.
哑铃形肿瘤是一种颈段脊髓内外椎管肿瘤，其中大多数为神经源性肿瘤。韧带样瘤罕见，据我们所知，英文文献中此前尚无涉及椎间孔的韧带样瘤在颈椎形成哑铃形肿瘤的病例报道。在此，我们报告一例发生于颈椎的韧带样瘤，其表现为典型的哑铃形肿瘤。
一名47岁女性因颈部左侧肿物入院。基于体格检查和影像学检查，该肿瘤最初被认为是神经源性颈段哑铃形肿瘤。术后苏木精-伊红染色及免疫组化染色确诊为颈段哑铃形韧带样瘤，据我们所知，此前从未有过相关报道。我们报告了我们的经验并复习了有关韧带样瘤的文献，以分享我们的经验并探索此类病变的合适治疗方案。
头颈部韧带样瘤可能表现为颈段哑铃形肿瘤。在制定治疗方案之前，进行包括手术病理在内的全面检查是必要的。
