Solitary Fibrous tumor of the lumbar spine mimicking a sequestered disc fragment
Solitary fibrous tumor in the lumbar spine is a rare pathology with non-specific radiographic features, sometimes resulting in misdiagnosis. Our patient was a 41-year old female who presented with low back pain and bilateral leg pain. Initial MRI showed a lesion misdiagnosed for a sequestered disc a...
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Format: | Article |
Language: | English |
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Elsevier
2021-03-01
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Series: | Radiology Case Reports |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043320306361 |
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author | Terence Verla, MD MPH Venita Simpson, MD Alexander E. Ropper, MD |
author_facet | Terence Verla, MD MPH Venita Simpson, MD Alexander E. Ropper, MD |
author_sort | Terence Verla, MD MPH |
collection | DOAJ |
description | Solitary fibrous tumor in the lumbar spine is a rare pathology with non-specific radiographic features, sometimes resulting in misdiagnosis. Our patient was a 41-year old female who presented with low back pain and bilateral leg pain. Initial MRI showed a lesion misdiagnosed for a sequestered disc at the mid L4-5 level, which was subsequently characterized appropriately and treated surgically, with resolution of symptoms. Pathologic diagnosis was most consistent with a solitary fibrous tumor due to STAT 6 and CD 34 reactivity. Long-term follow up is recommended in these patients to monitor tumor recurrence and evidence of metastasis. |
first_indexed | 2024-12-16T15:48:17Z |
format | Article |
id | doaj.art-f16ebace67394d43a01e2710e68679e3 |
institution | Directory Open Access Journal |
issn | 1930-0433 |
language | English |
last_indexed | 2024-12-16T15:48:17Z |
publishDate | 2021-03-01 |
publisher | Elsevier |
record_format | Article |
series | Radiology Case Reports |
spelling | doaj.art-f16ebace67394d43a01e2710e68679e32022-12-21T22:25:45ZengElsevierRadiology Case Reports1930-04332021-03-01163472475Solitary Fibrous tumor of the lumbar spine mimicking a sequestered disc fragmentTerence Verla, MD MPH0Venita Simpson, MD1Alexander E. Ropper, MD2Department of Neurosurgery, Baylor College of Medicine, 7200 Cambridge St, Suite 9A, Houston, TX 77030 USA; Corresponding Author: Terence Verla, MD MPH, Baylor College of Medicine, McNair Campus, Department of Neurosurgery, 7200 Cambridge Street, Suite 9A, Houston, TX 77030Naval Medical Center Portsmouth. 620 John Paul Jones Circle, Portsmouth VA 23707Department of Neurosurgery, Baylor College of Medicine, 7200 Cambridge St, Suite 9A, Houston, TX 77030 USASolitary fibrous tumor in the lumbar spine is a rare pathology with non-specific radiographic features, sometimes resulting in misdiagnosis. Our patient was a 41-year old female who presented with low back pain and bilateral leg pain. Initial MRI showed a lesion misdiagnosed for a sequestered disc at the mid L4-5 level, which was subsequently characterized appropriately and treated surgically, with resolution of symptoms. Pathologic diagnosis was most consistent with a solitary fibrous tumor due to STAT 6 and CD 34 reactivity. Long-term follow up is recommended in these patients to monitor tumor recurrence and evidence of metastasis.http://www.sciencedirect.com/science/article/pii/S1930043320306361Lumbar spineSolitary fibrous tumordisc herniationsequestered disccase report |
spellingShingle | Terence Verla, MD MPH Venita Simpson, MD Alexander E. Ropper, MD Solitary Fibrous tumor of the lumbar spine mimicking a sequestered disc fragment Radiology Case Reports Lumbar spine Solitary fibrous tumor disc herniation sequestered disc case report |
title | Solitary Fibrous tumor of the lumbar spine mimicking a sequestered disc fragment |
title_full | Solitary Fibrous tumor of the lumbar spine mimicking a sequestered disc fragment |
title_fullStr | Solitary Fibrous tumor of the lumbar spine mimicking a sequestered disc fragment |
title_full_unstemmed | Solitary Fibrous tumor of the lumbar spine mimicking a sequestered disc fragment |
title_short | Solitary Fibrous tumor of the lumbar spine mimicking a sequestered disc fragment |
title_sort | solitary fibrous tumor of the lumbar spine mimicking a sequestered disc fragment |
topic | Lumbar spine Solitary fibrous tumor disc herniation sequestered disc case report |
url | http://www.sciencedirect.com/science/article/pii/S1930043320306361 |
work_keys_str_mv | AT terenceverlamdmph solitaryfibroustumorofthelumbarspinemimickingasequestereddiscfragment AT venitasimpsonmd solitaryfibroustumorofthelumbarspinemimickingasequestereddiscfragment AT alexandereroppermd solitaryfibroustumorofthelumbarspinemimickingasequestereddiscfragment |