Sun Shou-Feng, Wang Xue-Hua, Yuan Ying-Ying, Shao Yuan-Dong
Department of Spine Surgery, Binzhou People's Hospital, Binzhou 256600, Shandong Province, China.
Department of Infectious Disease, Binzhou People's Hospital, Binzhou 256600, Shandong Province, China.
World J Clin Cases. 2024 Sep 6;12(25):5798-5804. doi: 10.12998/wjcc.v12.i25.5798.
Hemolymphangioma is a rare, noninvasive benign tumor that originates from vascular and lymphatic malformations. It is usually congenital and can present with varying symptoms depending on its location and size. There are very few reports of hemolymphangiomas within the spinal canal, and giant lesions are exceptionally rare.
In July 2023, a 64-year-old male with a giant intravertebral epidural hemolymphangioma from thoracic 11 to lumbar 2 (T11-L2) was admitted to the Department of Spine Surgery at the People's Hospital of Binzhou City, China. The patient experienced progressive lumbar and left lower limb pain, numbness, weakness in both lower limbs, and difficulty with urination and defecation. Imaging studies revealed a large cystic mass in the spinal canal at T11-L2. Surgical decompression was performed, and the pathology confirmed hemolymphangioma.
Complete resection of hemolymphangiomas has the best prognosis, and final diagnosis relies on pathologic diagnosis. In this case, the mass was removed intact with a pedicle nail rod system, leading to adequate spinal decompression and restoration of spinal stability.
淋巴管瘤是一种罕见的非侵袭性良性肿瘤，起源于血管和淋巴管畸形。它通常是先天性的，根据其位置和大小可表现出不同症状。椎管内淋巴管瘤的报道非常少，巨大病变极为罕见。
2023年7月，一名64岁男性因胸11至腰2（T11-L2）巨大椎体内硬膜外淋巴管瘤入住中国滨州市人民医院脊柱外科。患者出现进行性腰痛、左下肢疼痛、双下肢麻木、无力以及排尿和排便困难。影像学检查显示T11-L2椎管内有一个巨大囊性肿块。进行了手术减压，病理证实为淋巴管瘤。
淋巴管瘤完整切除预后最佳，最终诊断依赖病理诊断。在本病例中，通过椎弓根钉棒系统完整切除肿块，实现了充分的脊髓减压并恢复了脊柱稳定性。
