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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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Detalles Bibliográficos
Autores principales: Verla, Terence, Simpson, Venita, Ropper, Alexander E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7753083/
https://www.ncbi.nlm.nih.gov/pubmed/33363685
http://dx.doi.org/10.1016/j.radcr.2020.12.009
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author Verla, Terence
Simpson, Venita
Ropper, Alexander E.
author_facet Verla, Terence
Simpson, Venita
Ropper, Alexander E.
author_sort Verla, Terence
collection PubMed
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 pubmed-77530832020-12-23 Solitary Fibrous tumor of the lumbar spine mimicking a sequestered disc fragment Verla, Terence Simpson, Venita Ropper, Alexander E. Radiol Case Rep Case Report 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. Elsevier 2020-12-17 /pmc/articles/PMC7753083/ /pubmed/33363685 http://dx.doi.org/10.1016/j.radcr.2020.12.009 Text en © 2020 The Authors. Published by Elsevier Inc. on behalf of University of Washington. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Verla, Terence
Simpson, Venita
Ropper, Alexander E.
Solitary Fibrous tumor of the lumbar spine mimicking a sequestered disc fragment
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 Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7753083/
https://www.ncbi.nlm.nih.gov/pubmed/33363685
http://dx.doi.org/10.1016/j.radcr.2020.12.009
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