Spinal Schwannomatosis Mimicking Metastatic Extramedullary Spinal Tumor
Intradural extramedullary (IDEM) tumors are the most commonly observed intraspinal tumors, comprising over 60% of tumors found within the spinal canal, and the vast majority of these lesions are benign lesions. IDEM metastases are rare, but if they occur, they commonly manifest as leptomeningeal dis...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-03-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/13/7/1254 |
| _version_ | 1827747018353672192 |
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| author | Idris Nurdillah Iqbal Hussain Rizuana Sharis Osman Syazarina |
| author_facet | Idris Nurdillah Iqbal Hussain Rizuana Sharis Osman Syazarina |
| author_sort | Idris Nurdillah |
| collection | DOAJ |
| description | Intradural extramedullary (IDEM) tumors are the most commonly observed intraspinal tumors, comprising over 60% of tumors found within the spinal canal, and the vast majority of these lesions are benign lesions. IDEM metastases are rare, but if they occur, they commonly manifest as leptomeningeal disease, secondary to drop lesions from intracranial metastases from adenocarcinomas of the lung, prostate cancer, breast cancer, melanoma, or rarely, as a result of lymphomas. The purely non-neurogenic origin of IDEM metastases is rare. Herein, we describe a patient with a previous history of treated colon cancer who presented with a progressive neurological deficit and whose imaging revealed multiple intradural, extramedullary and osseous lesions at the cervical and thoracolumbar spines. With the previous known primary and multiplicity of the lesions, an initial diagnosis of spinal metastasis was made, But it was proven to be schwannoma on histology. We emphasize the diagnostic dilemma in this case and the importance of detecting subtle imaging findings, which may be helpful to differentiate between metastatic disease and a second primary tumor. |
| first_indexed | 2024-03-11T05:40:11Z |
| format | Article |
| id | doaj.art-c3a2154a47e6476f83daf1033c1f774c |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-11T05:40:11Z |
| publishDate | 2023-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-c3a2154a47e6476f83daf1033c1f774c2023-11-17T16:30:00ZengMDPI AGDiagnostics2075-44182023-03-01137125410.3390/diagnostics13071254Spinal Schwannomatosis Mimicking Metastatic Extramedullary Spinal TumorIdris Nurdillah0Iqbal Hussain Rizuana1Sharis Osman Syazarina2Department of Radiology, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Center, Jalan Yaakob Latif, Kuala Lumpur 56000, MalaysiaDepartment of Radiology, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Center, Jalan Yaakob Latif, Kuala Lumpur 56000, MalaysiaDepartment of Radiology, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Center, Jalan Yaakob Latif, Kuala Lumpur 56000, MalaysiaIntradural extramedullary (IDEM) tumors are the most commonly observed intraspinal tumors, comprising over 60% of tumors found within the spinal canal, and the vast majority of these lesions are benign lesions. IDEM metastases are rare, but if they occur, they commonly manifest as leptomeningeal disease, secondary to drop lesions from intracranial metastases from adenocarcinomas of the lung, prostate cancer, breast cancer, melanoma, or rarely, as a result of lymphomas. The purely non-neurogenic origin of IDEM metastases is rare. Herein, we describe a patient with a previous history of treated colon cancer who presented with a progressive neurological deficit and whose imaging revealed multiple intradural, extramedullary and osseous lesions at the cervical and thoracolumbar spines. With the previous known primary and multiplicity of the lesions, an initial diagnosis of spinal metastasis was made, But it was proven to be schwannoma on histology. We emphasize the diagnostic dilemma in this case and the importance of detecting subtle imaging findings, which may be helpful to differentiate between metastatic disease and a second primary tumor.https://www.mdpi.com/2075-4418/13/7/1254intraduralextramedullaryschwannomahemangiomametastases |
| spellingShingle | Idris Nurdillah Iqbal Hussain Rizuana Sharis Osman Syazarina Spinal Schwannomatosis Mimicking Metastatic Extramedullary Spinal Tumor Diagnostics intradural extramedullary schwannoma hemangioma metastases |
| title | Spinal Schwannomatosis Mimicking Metastatic Extramedullary Spinal Tumor |
| title_full | Spinal Schwannomatosis Mimicking Metastatic Extramedullary Spinal Tumor |
| title_fullStr | Spinal Schwannomatosis Mimicking Metastatic Extramedullary Spinal Tumor |
| title_full_unstemmed | Spinal Schwannomatosis Mimicking Metastatic Extramedullary Spinal Tumor |
| title_short | Spinal Schwannomatosis Mimicking Metastatic Extramedullary Spinal Tumor |
| title_sort | spinal schwannomatosis mimicking metastatic extramedullary spinal tumor |
| topic | intradural extramedullary schwannoma hemangioma metastases |
| url | https://www.mdpi.com/2075-4418/13/7/1254 |
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