Peng Sophia, Pearce Clairice, Sadeh Morteza, Abou-Mrad Tatiana, Borhani Martin, Mehta Ankit I
Department of Neurosurgery, University of Illinois Chicago, Chicago, Illinois.
Department of Surgery, University of Illinois Chicago, Chicago, Illinois.
J Neurosurg Case Lessons. 2025 Aug 18;10(7). doi: 10.3171/CASE25256.
Pseudomyogenic hemangioendothelioma (PMHE) is a rare vascular tumor with intermediate malignant potential, most commonly affecting young males and typically involving the soft tissues of the lower extremities. Spinal involvement is exceedingly rare, particularly as an isolated bony lesion without soft tissue extension, posing challenges in establishing standardized treatment approaches.
This report details a unique case of thoracic PMHE in a 60-year-old woman managed with a multistaged surgical approach, including preoperative embolization and en bloc spondylectomy. The authors describe the patient's clinical presentation, radiographic findings, surgical technique, and postoperative course, highlighting the role of en bloc resection in achieving tumor control.
This case underscores the feasibility of aggressive surgical management for spinal PMHE and emphasizes the need for further research to refine optimal treatment strategies. https://thejns.org/doi/10.3171/CASE25256.
假性肌源性血管内皮瘤（PMHE）是一种具有中等恶性潜能的罕见血管肿瘤，最常累及年轻男性，通常侵犯下肢软组织。脊柱受累极为罕见，尤其是作为孤立的骨病变且无软组织侵犯，这给制定标准化治疗方案带来了挑战。
本报告详细介绍了一名60岁女性胸段PMHE的独特病例，采用了多阶段手术方法进行治疗，包括术前栓塞和整块椎体切除术。作者描述了患者的临床表现、影像学检查结果、手术技术和术后病程，强调了整块切除在实现肿瘤控制中的作用。
该病例强调了积极手术治疗脊柱PMHE的可行性，并强调需要进一步研究以完善最佳治疗策略。https://thejns.org/doi/10.3171/CASE25256 。
