Intraspinal extradural benign fibrous histiocytoma of the lumbar spine in a pediatric patient. Case report and literature review

Fabrizio Donati, Luca Proietti, Aaron Burrofato, Domenico Alessandro Santagada, Francesco Ciro Tamburrelli

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Benign fibrous histiocytoma (BFH) is a rare skeletal tumor. Spinal localizations have been previously described in 17 cases, and this is the first report of BFH occurring at the lumbar spine in a pediatric patient.A 13-year-old male complained lower limb motor and sensory impairment with severe claudication and urination disorders. A huge intraspinal, extradural mass at L4-L5 level, clearly evident on a preoperative MRI, caused dislocation and severe compression of the cauda equina nerve roots. After a biopsy, confirming BFH, a tumor resection and L4-S1 vertebral arthrodesis was carried out. At 1 year follow-up, no recurrence was detached on postoperative MRI, with complete neurological recovery.Review of the literature is discussed. Histological examination is mandatory for a correct diagnosis and plan of treatment. None of the pediatric patients treated for BFH have ever shown local relapse.
Original languageEnglish
Pages (from-to)1549-1553
Number of pages5
JournalCHILDS NERVOUS SYSTEM
Volume32
DOIs
Publication statusPublished - 2016

Keywords

  • Benign fibrous
  • Histiocytoma
  • Lumbar spine
  • Pediatric back pain
  • Vertebral tumor
  • Xanthofibroma

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