Bryl Maciej, Fortuniak Jan, Wiśniewski Karol, Bobeff Ernest Jan, Jin Yizi, Papierz Wielisław, Jaskólski Dariusz Jan
Department of Neurosurgery and Neurooncology, Uniwersytet Medyczny w Lodzi, Lodz, Lodzkie, Poland.
Department of Neurosurgery, Soochow University Medical College, Suzhou, Jiangsu, China.
J Neurol Surg A Cent Eur Neurosurg. 2020 May;81(3):264-270. doi: 10.1055/s-0039-3400756. Epub 2020 Jan 21.
We describe a case of an intradural extramedullary inflammatory myofibroblastic tumor of the cervical spine. A 56-year-old woman presented with progressive neck pain, radiating to the right scapula, without any neurologic deficit. Magnetic resonance imaging showed an intradural extramedullary tumor with a dural tail sign, located at the C3-T1 segment with homogeneous contrast enhancement. The patient was operated on for a suspected meningioma. Pathologic examination showed fibrosis and inflammation with infiltration of B and T lymphocytes accompanied by plasmocytes, macrophages, and myofibroblast oocytes. We present the clinical course and review of the literature.
我们描述了一例颈椎硬膜内髓外炎性肌纤维母细胞瘤病例。一名56岁女性出现进行性颈部疼痛,放射至右肩胛骨,无任何神经功能缺损。磁共振成像显示硬膜内髓外肿瘤伴硬膜尾征,位于C3 - T1节段,呈均匀强化。患者因疑似脑膜瘤接受手术。病理检查显示纤维化和炎症,伴有B和T淋巴细胞浸润,同时还有浆细胞、巨噬细胞和肌纤维母细胞卵母细胞。我们介绍了该病例的临床过程并对文献进行了综述。