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.
Lingua originale | English |
---|---|
pagine (da-a) | 1549-1553 |
Numero di pagine | 5 |
Rivista | CHILDS NERVOUS SYSTEM |
Volume | 32 |
DOI | |
Stato di pubblicazione | Pubblicato - 2016 |
Keywords
- Benign fibrous
- Histiocytoma
- Lumbar spine
- Pediatric back pain
- Vertebral tumor
- Xanthofibroma