Okal Fahad Mahmood, Hamzah Abdulaziz, Boubaker Adnan, Aref Mohammed H
Department of Surgery, Neurosurgery Section, King Abdulaziz Medical City, Ministry of National Guard, Jeddah, Saudi Arabia.
College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia.
Surg Neurol Int. 2023 Mar 24;14:99. doi: 10.25259/SNI_185_2023. eCollection 2023.
Rhabdomyosarcoma (RMS) is a malignant childhood tumor that most commonly involves the skeletal muscles of the head and neck, genitourinary tract, limbs, and, rarely, the spine.
A 19-year-old male presented with cauda equina symptoms. Magnetic resonance imaging showed a C7/T1 homogeneously enhancing lesion, causing pathological fracture of the T1. Similar lesions were found on T3 and S1-S2 levels. CT-guided biopsy and immunohistochemistry confirmed the diagnosis of highly malignant alveolar RMS. He underwent multi-level laminectomies with partial tumor debulking but was paraplegic postoperatively.
Spinal RMS rarely involves the soft tissues of the spine and should be surgically resected if feasible. Nevertheless, the long-term prognosis is poor regarding tumor recurrence and metastases.
横纹肌肉瘤（RMS）是一种儿童期恶性肿瘤，最常累及头颈部、泌尿生殖道、四肢的骨骼肌，很少累及脊柱。
一名19岁男性出现马尾神经症状。磁共振成像显示C7/T1水平有一个均匀强化的病变，导致T1病理性骨折。在T3和S1 - S2水平发现了类似病变。CT引导下活检及免疫组化确诊为高度恶性肺泡型RMS。他接受了多级椎板切除术及部分肿瘤减瘤手术，但术后出现截瘫。
脊柱RMS很少累及脊柱软组织，若可行应手术切除。然而，关于肿瘤复发和转移，长期预后较差。
