Czyżewski Wojciech, Litak Jakub, Pasierb Barbara, Piątek Paula, Turek Michał, Banach Lech, Turek Grzegorz, Torres Kamil, Staśkiewicz Grzegorz
Department of Neurosurgery, Maria Sklodowska-Curie National Research Institute of Oncology, ul. W.K. 7 Roentgena 5, 02-781 Warsaw, Poland.
Department of Didactics and Medical Simulation, Medical University of Lublin, 20-954 Lublin, Poland.
Diseases. 2024 Jun 20;12(6):132. doi: 10.3390/diseases12060132.
Contemporary literature lacks examples of intradural, extramedullary spinal glomangiomas. Moreover, glomus tumors in general are exceedingly rare among benign spinal tumors and are mostly located within epidural space or within intervertebral foramen, and only a few cases have been documented to date. This report provides a detailed analysis of the clinical presentation, imaging characteristics, surgical intervention, and pathological findings of a 45-year-old patient experiencing progressive locomotor deterioration. The tumor was surgically excised, and subsequent histological examination identified it as a representative of glomus tumors-a glomangioma. Notably, this represents a unique case as it was the first example of such a tumor being discovered intradurally. Radical surgical excision remains the modality of choice in most benign spinal tumors of this localization. Although the malignant transformation of glomus tumors within the spine has not been documented thus far, cases have arisen in other areas. Consequently, we will investigate potential oncological treatments for cases with malignant potential and highlight advancements in surgical techniques for benign intradural spinal tumors.
当代文献中缺乏硬脊膜内、髓外脊髓血管球瘤的病例。此外，血管球瘤在良性脊柱肿瘤中极为罕见，大多位于硬膜外间隙或椎间孔内，迄今为止仅有少数病例报道。本报告详细分析了一名45岁进行性运动功能恶化患者的临床表现、影像学特征、手术干预及病理结果。该肿瘤经手术切除，随后的组织学检查确定其为血管球瘤的典型代表——血管球血管瘤。值得注意的是，这是一个独特的病例，因为它是首例在硬脊膜内发现的此类肿瘤。根治性手术切除仍是大多数此类定位的良性脊柱肿瘤的首选治疗方式。尽管迄今为止尚未有脊柱内血管球瘤发生恶性转化的报道，但在其他部位已有此类病例出现。因此，我们将研究针对具有恶性潜能病例的潜在肿瘤治疗方法，并强调良性硬脊膜内脊柱肿瘤手术技术的进展。
