Binh Nguyen Thai, Hoa Tran Quoc, Linh Le Tuan, My Thieu-Thi Tra, Anh Pham Quynh, Duc Nguyen Minh
Department of Radiology, Hanoi Medical University, Hanoi, Vietnam.
Department of Human Anatomy, Hanoi Medical University, Hanoi, Vietnam.
J Clin Imaging Sci. 2022 May 2;12:21. doi: 10.25259/JCIS_20_2022. eCollection 2022.
The performance of preoperative embolization on a spinal tumor can be a useful adjunctive procedure that minimizes blood loss and complications, particularly for both metastatic and non-metastatic hypervascular tumors. We discuss two cases of hypervascular spinal tumors that were successfully treated with preoperative embolization and surgery. The first patient was an 18-year-old man who presented with cervical and shoulder pain for two months without paralysis or weakness. Magnetic resonance imaging revealed a tumor located in the D2 posterior vertebral arch that extended into the spinal canal and compressed the spinal cord. The second patient was a 68-year-old man with back pain that radiated to the legs for ten days. Magnetic resonance imaging revealed a mass in the L4 vertebral body. Both patients received tumor embolization and surgery. After surgery, neither patient experienced any major complications. Histological examination revealed osteoblastoma in the first patient and plasmacytoma in the second patient.
术前栓塞术应用于脊柱肿瘤，可能是一种有用的辅助手术，可减少出血量和并发症，特别是对于转移性和非转移性富血管肿瘤。我们讨论两例富血管脊柱肿瘤患者，他们通过术前栓塞术和手术成功治愈。首例患者为一名18岁男性，出现颈部和肩部疼痛两个月，无瘫痪或无力症状。磁共振成像显示肿瘤位于D2后椎弓，延伸至椎管并压迫脊髓。第二例患者为一名68岁男性，背痛放射至腿部十天。磁共振成像显示L4椎体有一肿块。两名患者均接受了肿瘤栓塞术和手术。术后，两名患者均未出现任何重大并发症。组织学检查显示首例患者为成骨细胞瘤，第二例患者为浆细胞瘤。
