Cargando…

Lumbar paraspinal atypical spindle cell/pleomorphic lipomatous tumor: A report of a rare case

The atypical spindle cell/pleomorphic lipomatous tumor (ASPLT) was classified as a new tumor by the World Health Organization (WHO) in 2020. The tumor is benign and commonly occurs in the limbs. Paraspinal presentations are rare. A 38‐year‐old man presented at our clinic complaining of sudden onset...

Descripción completa

Detalles Bibliográficos
Autores principales: Cheng, Yu‐Wen, Chen, Yang‐Yi, Kuo, Chao‐Hung, Liao, Wei‐Chuan, Kwan, Aij‐Lie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9883842/
https://www.ncbi.nlm.nih.gov/pubmed/36726691
http://dx.doi.org/10.1002/ccr3.6868
_version_ 1784879591671726080
author Cheng, Yu‐Wen
Chen, Yang‐Yi
Kuo, Chao‐Hung
Liao, Wei‐Chuan
Kwan, Aij‐Lie
author_facet Cheng, Yu‐Wen
Chen, Yang‐Yi
Kuo, Chao‐Hung
Liao, Wei‐Chuan
Kwan, Aij‐Lie
author_sort Cheng, Yu‐Wen
collection PubMed
description The atypical spindle cell/pleomorphic lipomatous tumor (ASPLT) was classified as a new tumor by the World Health Organization (WHO) in 2020. The tumor is benign and commonly occurs in the limbs. Paraspinal presentations are rare. A 38‐year‐old man presented at our clinic complaining of sudden onset back pain. No neurological deficit was found. The magnetic resonance imaging (MRI) revealed a well‐defined heterogeneous mass in the left psoas muscle, from L1 to L3 extending over the L1 and L2 neuroforamen. The tumor was totally excised. Pathology led to an ASPLT diagnosis. Clinical symptoms improved and there was no postsurgical neurological deficit. This case of ASPLT, located in an uncommon location and present an unusual cluster of symptoms, could be treated by surgical excision, usually the first‐treatment strategy. Totally, removal was achieved because there was a clear morphological margin. The risk of metastatic dissemination was minimal, though there remains a nonnegligible risk of local recurrence.
format Online
Article
Text
id pubmed-9883842
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher John Wiley and Sons Inc.
record_format MEDLINE/PubMed
spelling pubmed-98838422023-01-31 Lumbar paraspinal atypical spindle cell/pleomorphic lipomatous tumor: A report of a rare case Cheng, Yu‐Wen Chen, Yang‐Yi Kuo, Chao‐Hung Liao, Wei‐Chuan Kwan, Aij‐Lie Clin Case Rep Case Report The atypical spindle cell/pleomorphic lipomatous tumor (ASPLT) was classified as a new tumor by the World Health Organization (WHO) in 2020. The tumor is benign and commonly occurs in the limbs. Paraspinal presentations are rare. A 38‐year‐old man presented at our clinic complaining of sudden onset back pain. No neurological deficit was found. The magnetic resonance imaging (MRI) revealed a well‐defined heterogeneous mass in the left psoas muscle, from L1 to L3 extending over the L1 and L2 neuroforamen. The tumor was totally excised. Pathology led to an ASPLT diagnosis. Clinical symptoms improved and there was no postsurgical neurological deficit. This case of ASPLT, located in an uncommon location and present an unusual cluster of symptoms, could be treated by surgical excision, usually the first‐treatment strategy. Totally, removal was achieved because there was a clear morphological margin. The risk of metastatic dissemination was minimal, though there remains a nonnegligible risk of local recurrence. John Wiley and Sons Inc. 2023-01-28 /pmc/articles/PMC9883842/ /pubmed/36726691 http://dx.doi.org/10.1002/ccr3.6868 Text en © 2023 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Case Report
Cheng, Yu‐Wen
Chen, Yang‐Yi
Kuo, Chao‐Hung
Liao, Wei‐Chuan
Kwan, Aij‐Lie
Lumbar paraspinal atypical spindle cell/pleomorphic lipomatous tumor: A report of a rare case
title Lumbar paraspinal atypical spindle cell/pleomorphic lipomatous tumor: A report of a rare case
title_full Lumbar paraspinal atypical spindle cell/pleomorphic lipomatous tumor: A report of a rare case
title_fullStr Lumbar paraspinal atypical spindle cell/pleomorphic lipomatous tumor: A report of a rare case
title_full_unstemmed Lumbar paraspinal atypical spindle cell/pleomorphic lipomatous tumor: A report of a rare case
title_short Lumbar paraspinal atypical spindle cell/pleomorphic lipomatous tumor: A report of a rare case
title_sort lumbar paraspinal atypical spindle cell/pleomorphic lipomatous tumor: a report of a rare case
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9883842/
https://www.ncbi.nlm.nih.gov/pubmed/36726691
http://dx.doi.org/10.1002/ccr3.6868
work_keys_str_mv AT chengyuwen lumbarparaspinalatypicalspindlecellpleomorphiclipomatoustumorareportofararecase
AT chenyangyi lumbarparaspinalatypicalspindlecellpleomorphiclipomatoustumorareportofararecase
AT kuochaohung lumbarparaspinalatypicalspindlecellpleomorphiclipomatoustumorareportofararecase
AT liaoweichuan lumbarparaspinalatypicalspindlecellpleomorphiclipomatoustumorareportofararecase
AT kwanaijlie lumbarparaspinalatypicalspindlecellpleomorphiclipomatoustumorareportofararecase