Surgical Treatment of Benign Fibrous Histiocytoma as a Form of Intraspinal Extradural Tumor at Lumbar Spine.
- Author:
Soo Beom KIM
1
;
Jee Soo JANG
;
Sang Ho LEE
Author Information
- Publication Type:Case Report
- Keywords: Histiocytoma; Benign fibrous; Soft tissue neoplasms; Lumbar vertebrae
- MeSH: Aged; Female; Follow-Up Studies; Gadolinium; Histiocytoma; Histiocytoma, Benign Fibrous; Humans; Lumbar Vertebrae; Magnetic Resonance Spectroscopy; Recurrence; Soft Tissue Neoplasms; Spine
- From:Asian Spine Journal 2010;4(2):132-135
- CountryRepublic of Korea
- Language:English
- Abstract: A benign fibrous histiocytoma (BFH) is one of the fibrohistiocytic groups of soft-tissue tumors for which spinal involvement is extremely rare. To the best of our knowledge, most spine-originating BFHs are bone tumors. We report the first case of BFH occurring in the intraspinal extradural space on the lumbar spine. A 66-year-old female presented with severe claudication symptom. The preoperative magnetic resonance images showed a huge intraspinal, extradural, thecal-sac-compressing soft-tissue tumor that extended along the right L5 root to the neural foramen. The tumor was a relatively well-marginated, inhomogeneous soft-tissue mass with some fluid-containing cystic portions that were well enhanced by the gadolinium contrast dye. After a total facectectomy, the tumor was removed completely. The patient had a good neurological recovery without complications, and no recurrence was noted at the 6-month follow-up.
