Verla Terence, Simpson Venita, Ropper Alexander E
Department of Neurosurgery, Baylor College of Medicine, 7200 Cambridge St, Suite 9A, Houston, TX 77030 USA.
Naval Medical Center Portsmouth. 620 John Paul Jones Circle, Portsmouth VA 23707.
Radiol Case Rep. 2020 Dec 17;16(3):472-475. doi: 10.1016/j.radcr.2020.12.009. eCollection 2021 Mar.
Solitary fibrous tumor in the lumbar spine is a rare pathology with non-specific radiographic features, sometimes resulting in misdiagnosis. Our patient was a 41-year old female who presented with low back pain and bilateral leg pain. Initial MRI showed a lesion misdiagnosed for a sequestered disc at the mid L4-5 level, which was subsequently characterized appropriately and treated surgically, with resolution of symptoms. Pathologic diagnosis was most consistent with a solitary fibrous tumor due to STAT 6 and CD 34 reactivity. Long-term follow up is recommended in these patients to monitor tumor recurrence and evidence of metastasis.
腰椎孤立性纤维瘤是一种罕见的病理类型，具有非特异性的影像学特征，有时会导致误诊。我们的患者是一名41岁女性，表现为腰痛和双侧腿痛。最初的MRI显示L4 - 5水平中部有一个病变，被误诊为游离椎间盘，随后该病变得到了正确诊断并接受了手术治疗，症状得以缓解。病理诊断由于STAT 6和CD 34反应性，最符合孤立性纤维瘤。建议对这些患者进行长期随访，以监测肿瘤复发和转移迹象。
