scholarly journals Salvage carbon ion radiotherapy for recurrent solitary fibrous tumor: A case report and literature review

2020 ◽  
Vol 28 (1) ◽  
pp. 230949901989609
Author(s):  
Kazuma Murata ◽  
Kenji Endo ◽  
Takato Aihara ◽  
Yuji Matsuoka ◽  
Hirosuke Nishimura ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Solitary Fibrous Tumor ◽  
Clinical Course ◽  
Metastatic Lesion ◽  
Carbon Ion Radiotherapy ◽  
Thoracic Spinal Cord ◽  
Carbon Ion ◽  
Thoracic Spinal ◽  
Fibrous Tumor

Background: Malignant solitary fibrous tumor (MSFT) arising from the spinal cord is extremely rare and poorly understood mesenchymal neoplasms: only a few MSFT in the spinal canal has been described. We describe the clinical course of the patient with MSFT arising from the thoracic spinal cord. Case report: We describe the clinical course of the patient and the radiological and pathological findings of the tumor. The tumor had been resected by microscopic posterior approach and video-assisted thoracic surgery, but local recurrence was observed by MRI at 1-year follow-up period. No metastatic lesion was confirmed. Then, carbon ion radiotherapy (CIRT) was administered to the recurrent lesion. Local suppression has been observed for 40 months after irradiation. Conclusion: Dumbbell-shaped MSFT arising from thoracic spinal cord is a highly unusual presentation. CIRT might be effective for treatment of recurrent tumors.

scholarly journals Intramedullary Solitary Fibrous Tumor of the Thoracic Spinal Cord—A Case Report—

2014 ◽  
Vol 28 (3) ◽  
pp. 282-286
Author(s):  
Osamu Kawakami ◽  
Keisuke Yamada ◽  
Masahiro Kojima ◽  
Keiko Matsubayashi ◽  
Yuichiro Tsuge ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Solitary Fibrous Tumor ◽  
Thoracic Spinal Cord ◽  
Thoracic Spinal ◽  
Fibrous Tumor

scholarly journals Solitary Fibrous Tumor of the Thoracic Spinal Cord

2005 ◽  
Vol 45 (7) ◽  
pp. 371-374 ◽  
Author(s):  
Tomoyuki OGAWA ◽  
Eiji MORIYAMA ◽  
Hiroichi BECK ◽  
Hiroshi SONOBE
Keyword(s):  
Spinal Cord ◽  
Solitary Fibrous Tumor ◽  
Thoracic Spinal Cord ◽  
Thoracic Spinal ◽  
Fibrous Tumor

Solitary Fibrous Tumor of the Spinal Cord: Case Report and Review of the Literature

Neurosurgery ◽  
2004 ◽  
Vol 55 (2) ◽  
pp. E433-E438 ◽  
Author(s):  
Mitsuhiro Kawamura ◽  
Kazutaka Izawa ◽  
Noboru Hosono ◽  
Hiroshi Hirano
Keyword(s):  
Spinal Cord ◽  
Solitary Fibrous Tumor ◽  
Spinal Cord Tumor ◽  
Clinical Manifestations ◽  
Thoracic Spinal Cord ◽  
Thoracic Spinal ◽  
Spindle Cell Proliferation ◽  
Long Term Follow Up ◽  
Fibrous Tumor ◽  
The Right

Abstract OBJECTIVE AND IMPORTANCE: A solitary fibrous tumor (SFT) is a rare neoplasm of probable mesenchymal origin that was first reported in the pleura but can occur in different sites. Only six cases of SFT arising from the spinal cord have been reported. CLINICAL PRESENTATION: We report a case of primary SFT occurring in the thoracic spinal cord in a 64-year-old man with Brown-Séquard syndrome. Magnetic resonance imaging revealed an intradural mass at the level of T2–T3. INTERVENTION: Total T2–T3 laminectomies were performed. The tumor appeared to be adherent to the right lateral aspect of the cord but not attached to the meninges. On histological examination, the tumor exhibited spindle cell proliferation with abundant dense collagen but without a hemangiopericytomatous pattern. Immunohistochemically, the tumor cells were reactive with CD34 and vimentin only. CONCLUSION: We report a rare case of SFT occurring in the thoracic spinal cord. Histologically and immunohistochemically, we confirmed the diagnosis of SFT. Low signal intensity on T1- and T2-weighted images corresponded to the histological findings. When a spinal cord tumor exhibits a signal pattern similar to this, SFT should be included in the differential diagnosis. Because of the rarity of reports on this condition, the clinical manifestations and course of SFT of the spinal cord are unknown, and careful long-term follow-up is recommended.

scholarly journals Intradural Extramedullary Solitary Fibrous Tumor of the Thoracic Spinal Cord

Cureus ◽  
2021 ◽  
Author(s):  
Zachary T Olmsted ◽  
Joanna Tabor ◽  
Omer Doron ◽  
Hossein Hosseini ◽  
Daniel Schneider ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Solitary Fibrous Tumor ◽  
Thoracic Spinal Cord ◽  
Thoracic Spinal ◽  
Intradural Extramedullary ◽  
Fibrous Tumor

Two patients with a solitary fibrous tumor of the thoracic spinal cord

2013 ◽  
Vol 20 (2) ◽  
pp. 317-319 ◽  
Author(s):  
Marina Brigui ◽  
Sorin Aldea ◽  
Michele Bernier ◽  
Saad Bennis ◽  
Etienne Mireau ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Solitary Fibrous Tumor ◽  
Thoracic Spinal Cord ◽  
Thoracic Spinal ◽  
Fibrous Tumor

scholarly journals Intramedullary Tuberculoma of the Spinal Cord: A Case Report

2020 ◽  
Vol 13 ◽  
pp. 300-303
Author(s):  
Kelsey Knobbe ◽  
Melissa Gaines
Keyword(s):  
Spinal Cord ◽  
Differential Diagnosis ◽  
Case Report ◽  
Treatment Guidelines ◽  
Clinical Course ◽  
Spinal Tuberculosis ◽  
Spot Test ◽  
Thoracic Spinal Cord ◽  
Thoracic Spinal ◽  
Spinal Lesion

Intramedullary tuberculoma (IMT) is a form of spinal tuberculosis which provides a challenge to the internist because there lacks clear diagnostic and treatment guidelines to date. Although rare, it should be included on the differential diagnosis of any patient who presents with progressively worsening symptoms of radiculopathy and a new spinal lesion on imaging. Traditional methods for detection of tuberculosis including tuberculosis spot test and the Ziehl-Neelsen stain have limited utility in diagnosing IMT. In this report, we describe the clinical course, diagnosis and treatment regimen of an adult male with intramedullary tuberculoma of the thoracic spinal cord

Spontaneous Herniation of the Thoracic Spinal Cord: A Case Report

2001 ◽  
Vol 45 (4) ◽  
pp. 353 ◽  
Author(s):  
Sung Chan Jin ◽  
Seoung Ro Lee ◽  
Dong Woo Park ◽  
Kyung Bin Joo
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Thoracic Spinal Cord ◽  
Thoracic Spinal ◽  
Spontaneous Herniation

scholarly journals Retroperitoneal fibrous tumor recurring as lung metastases after 10 years: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Kozue Matsuishi ◽  
Kojiro Eto ◽  
Atsushi Morito ◽  
Hirokazu Hamasaki ◽  
Keisuke Morita ◽  
...  
Keyword(s):  
Case Report ◽  
Solitary Fibrous Tumor ◽  
Distant Metastasis ◽  
Curative Resection ◽  
Lung Metastases ◽  
Lung Resection ◽  
Left Lung ◽  
Metastatic Lesion ◽  
Case Presentation ◽  
Fibrous Tumor

Abstract Background Solitary fibrous tumor (SFT) is a relatively rare mesenchymal tumor that mainly affects adults. Its prognosis is good after curative resection, but distant recurrences after 10 years or longer have been reported. Recurrent SFT usually arises as a local lesion; distant metastasis is rarely reported. Here, we report lung metastases that recurred a decade after excising a retroperitoneal primary SFT. Case presentation A 44-year-old woman had an SFT resected from her right retroperitoneum at our hospital. Ten years later, at age 54, she underwent a lung resection after CT showed three suspected metastases in her left lung. All three were histologically diagnosed as lung metastases from the retroperitoneal SFT. However, whereas the primary SFT had 1–2 mitotic cells/10 high power fields (HPF), the metastatic lesion increased malignancy, at 50/10 HPF. Conclusion Patients who have had resected SFTs should be carefully followed up, as malignancy may change in distant metastasis, as in this case.

scholarly journals Percutaneous Epidural Hydrogel Sealant for the Treatment of Spontaneous Intracranial Hypotension: A Case Report of Chronic Thoracic Neuralgia and Technical Lessons Learned

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Michael G. Hillegass ◽  
Samuel F. Luebbert ◽  
Maureen F. McClenahan
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Intracranial Hypotension ◽  
Spontaneous Intracranial Hypotension ◽  
Lessons Learned ◽  
Injection Velocity ◽  
Thoracic Spinal Cord ◽  
Ct Guided ◽  
Thoracic Spinal ◽  
Needle Position

We report a case in which a 34-year-old female with refractory intracranial hypotension headaches due to a spontaneous dural tear was ultimately treated with CT-guided transforaminal epidural placement of a synthetic absorbable sealant (DuraSeal®). The procedure successfully resolved her headaches; however she subsequently developed thoracic neuralgia presumably due to mass effect of the sealant material on the lower thoracic spinal cord and nerve roots. This case report describes the potential for significant spinal cord and nerve root compression as well as the development of chronic neuralgia with the placement of epidural hydrogel and fibrin glue sealants. Careful consideration should be taken into the needle gauge, needle position, injectate volumes, and injection velocity when delivering the sealant to the epidural space. Use of an 18-gauge Tuohy needle with a slow but steady injection pressure, constant patient feedback, and a conservative injectate volume (less than 2 ml per level) may best optimize sealant delivery to minimize the risk of spinal cord compression and neurologic injury.

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