Spinal Epidermoid Tumors: Case Report and Review of the Literature
Spinal epidermoid tumors are rare, benign tumors that are either acquired from trauma, surgery, or lumbar puncture or arise as congenital lesions, particularly spinal dysraphisms. We report a case of a massive spinal epidermoid tumor and review the literature with a focus on the surgical outcomes. A...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Korean Spinal Neurosurgery Society
2018-06-01
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| Series: | Neurospine |
| Subjects: | |
| Online Access: | http://www.e-neurospine.org/upload/pdf/ns-1836014-007.pdf |
| _version_ | 1797331344162816000 |
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| author | Vivek B. Beechar Pascal O. Zinn Kent A. Heck Gregory N. Fuller Inbo Han Akash J. Patel Alexander E. Ropper |
| author_facet | Vivek B. Beechar Pascal O. Zinn Kent A. Heck Gregory N. Fuller Inbo Han Akash J. Patel Alexander E. Ropper |
| author_sort | Vivek B. Beechar |
| collection | DOAJ |
| description | Spinal epidermoid tumors are rare, benign tumors that are either acquired from trauma, surgery, or lumbar puncture or arise as congenital lesions, particularly spinal dysraphisms. We report a case of a massive spinal epidermoid tumor and review the literature with a focus on the surgical outcomes. A 71-year-old female patient presented after a fall with subsequent symptoms of severe back and hip pain, as well as loss of motor strength in the left leg. Her magnetic resonance imaging demonstrated a T2/short tau inversion recovery hyperintense mass extending from the level of the T10–11 disc caudally through S2. A biopsy was recommended to determine whether the tumor was radio- or chemo-sensitive. The patient underwent a L4 laminectomy and a pearly-white tumor was encountered, with a subsequent biopsy confirming it to be an epidermoid tumor. The following conclusions can be drawn from a review of the literature. Spinal epidermoid tumors are more common in women and tend to present in younger patients (median age of 23). The majority of patients had acquired lesions (46%). In terms of surgical outcomes for adherent tumors, gross total resection was found to provide optimal outcomes, with 90% of patients improving clinically after surgery. |
| first_indexed | 2024-03-08T07:34:05Z |
| format | Article |
| id | doaj.art-5a18e0bc3c094084a33479b99fed45e8 |
| institution | Directory Open Access Journal |
| issn | 2586-6583 2586-6591 |
| language | English |
| last_indexed | 2024-03-08T07:34:05Z |
| publishDate | 2018-06-01 |
| publisher | Korean Spinal Neurosurgery Society |
| record_format | Article |
| series | Neurospine |
| spelling | doaj.art-5a18e0bc3c094084a33479b99fed45e82024-02-02T19:37:50ZengKorean Spinal Neurosurgery SocietyNeurospine2586-65832586-65912018-06-0115211712210.14245/ns.1836014.007790Spinal Epidermoid Tumors: Case Report and Review of the LiteratureVivek B. Beechar0Pascal O. Zinn1Kent A. Heck2Gregory N. Fuller3Inbo Han4Akash J. Patel5Alexander E. Ropper6 Department of Neurosurgery, Baylor College of Medicine, Houston, TX, USA Department of Neurosurgery, Baylor College of Medicine, Houston, TX, USA Department of Pathology, Baylor College of Medicine, Houston, TX, USA Department of Pathology, MD Anderson Cancer Center, Houston, TX, USA Department of Neurosurgery, CHA University, CHA Bundang Medical Center, Seongnam, Korea Department of Neurosurgery, Baylor College of Medicine, Houston, TX, USA Department of Neurosurgery, Baylor College of Medicine, Houston, TX, USASpinal epidermoid tumors are rare, benign tumors that are either acquired from trauma, surgery, or lumbar puncture or arise as congenital lesions, particularly spinal dysraphisms. We report a case of a massive spinal epidermoid tumor and review the literature with a focus on the surgical outcomes. A 71-year-old female patient presented after a fall with subsequent symptoms of severe back and hip pain, as well as loss of motor strength in the left leg. Her magnetic resonance imaging demonstrated a T2/short tau inversion recovery hyperintense mass extending from the level of the T10–11 disc caudally through S2. A biopsy was recommended to determine whether the tumor was radio- or chemo-sensitive. The patient underwent a L4 laminectomy and a pearly-white tumor was encountered, with a subsequent biopsy confirming it to be an epidermoid tumor. The following conclusions can be drawn from a review of the literature. Spinal epidermoid tumors are more common in women and tend to present in younger patients (median age of 23). The majority of patients had acquired lesions (46%). In terms of surgical outcomes for adherent tumors, gross total resection was found to provide optimal outcomes, with 90% of patients improving clinically after surgery.http://www.e-neurospine.org/upload/pdf/ns-1836014-007.pdfEpidermoid cystEpidermoid tumorSpine tumorIntradural spine tumor |
| spellingShingle | Vivek B. Beechar Pascal O. Zinn Kent A. Heck Gregory N. Fuller Inbo Han Akash J. Patel Alexander E. Ropper Spinal Epidermoid Tumors: Case Report and Review of the Literature Neurospine Epidermoid cyst Epidermoid tumor Spine tumor Intradural spine tumor |
| title | Spinal Epidermoid Tumors: Case Report and Review of the Literature |
| title_full | Spinal Epidermoid Tumors: Case Report and Review of the Literature |
| title_fullStr | Spinal Epidermoid Tumors: Case Report and Review of the Literature |
| title_full_unstemmed | Spinal Epidermoid Tumors: Case Report and Review of the Literature |
| title_short | Spinal Epidermoid Tumors: Case Report and Review of the Literature |
| title_sort | spinal epidermoid tumors case report and review of the literature |
| topic | Epidermoid cyst Epidermoid tumor Spine tumor Intradural spine tumor |
| url | http://www.e-neurospine.org/upload/pdf/ns-1836014-007.pdf |
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