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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Main Authors: Terence Verla, MD MPH, Venita Simpson, MD, Alexander E. Ropper, MD
Format: Article
Language:English
Published: Elsevier 2021-03-01
Series:Radiology Case Reports
Subjects:
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.
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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
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