https://scholars.lib.ntu.edu.tw/handle/123456789/635550
標題: | A primary meningioma of the lumbar spine with neck metastasis | 作者: | CHIH-WEI SUNG Hsieh, Kevin Li-Chun Kuo, Yi-Jie |
關鍵字: | Lumbar spine; Meningioma; Metastatic; Neck metastasis; Spinal meningioma | 公開日期: | 十一月-2020 | 卷: | 43 | 期: | 6 | 來源出版物: | The journal of spinal cord medicine | 摘要: | Context: Approximately 25% of all primary spinal cord tumors are meningiomas, and 80% of these tumors occur in the thoracic region. Few meningiomas of the lumbar spine have been presented. Extracranial metastasis of meningioma occurs extremely rare, only in about 0.1% of meningiomas. Even metastasis, the sites are seldom seen in deep soft tissue. We reported a woman original meningioma in the lumbar spine with distal deep neck metastasis. Findings: A 59-year-old patient suffered from severe right drop foot, numbness, and radicular pain for the previous 6 months. Computed tomography (CT) disclosed a huge, macrolobulated retroperitoneal soft-tissue lesion with a size of 14.9 × 10.8 × 17.7 cm. Magnetic resonance imaging (MRI) further revealed a solid spinal intracanal tumor with moderate enhancement involving the right paraspinal region at the L2∼L5 level and the right iliac fossa. A meningioma was diagnosed with histological proof. Four months later, another metastatic meningioma in her left neck. She was managed conservatively without neurologic dysfunction. Conclusions: To the best of our knowledge, such a large meningioma of the lumbar spine has not previously been reported in the literature. In this study, we demonstrated a rare spinal meningioma located in the lumbar spine primarily with secondary soft tissue metastasis. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/635550 | ISSN: | 10790268 | DOI: | 10.1080/10790268.2018.1564993 |
顯示於: | 醫學院附設醫院 (臺大醫院) |
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