Mujtaba Bilal, Call Catherine, Rowland Fauniel, Spear Rosario P, Amini Behrang, Valenzuela Raul, Nassar Sameh
Department of Diagnostic Radiology, Musculoskeletal Imaging Section, University of Texas MD Anderson Cancer Center 1515 Holcombe BLVD, Unit 1475, Houston, TX 77030.
Radiol Case Rep. 2020 Apr 7;15(6):697-701. doi: 10.1016/j.radcr.2020.02.004. eCollection 2020 Jun.
A 42-year-old female patient with a history of cervicothoracic junction meningioma World Health Organization grade I, resected in early 2011, was admitted to the hospital with intractable headache and lower extremity weakness. Magnetic resonance imaging (MRI) showed an epidural mass compressing the spinal cord at the prior surgical site, which was interpreted as recurrent meningioma. Following surgical resection, histopathological analysis revealed desmoid fibromatosis (desmoid tumor). In retrospect, dynamic contrast-enhanced magnetic resonance imaging performed prior to surgery should have allowed for prospective exclusion of meningioma as the recurrent mass and suggested an alternative diagnosis such as post-traumatic desmoid fibromatosis or the need for biopsy to confirm diagnosis.
一名42岁女性患者，有颈胸段交界区世界卫生组织I级脑膜瘤病史，于2011年初接受手术切除，因顽固性头痛和下肢无力入院。磁共振成像（MRI）显示在先前手术部位有一个硬膜外肿块压迫脊髓，诊断为复发性脑膜瘤。手术切除后，组织病理学分析显示为韧带样纤维瘤病（硬纤维瘤）。回顾来看，术前进行的动态对比增强磁共振成像本应能够前瞻性地排除复发性肿块为脑膜瘤，并提示其他诊断，如创伤后韧带样纤维瘤病或需要活检以确诊。
