Vol 48, No 2 (2014)

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Solitary fibrous tumour with intramedullary component: Case report and review of the literature

Thomas Robert1, Christophe Duc2, Diego San Millán3, Marc Morard1
DOI: 10.1016/j.pjnns.2013.09.006
Neurol Neurochir Pol 2014;48(2):144-149.

Abstract

Solitary fibrous tumours (SFTs) are rare WHO grade I mesenchymal neoplasms that were first described in the visceral pleura. A wide variety of locations of SFT have been reported but only twelve cases of intramedullary solitary fibrous tumour. We report a case of thoracic spinal cord SFT.

A 49-year-old woman presented with clinical signs of dorsal myelopathy. Magnetic resonance imaging revealed an intradural mass at level T9–T10 which showed imaging features consistent both for an intra- and an extramedullary location of a solid tumour. Imaging findings were confirmed during surgery which was successful in resecting the extramedullary component. The intramedullary component could only be partially resected.

Solitary fibrous tumour is a rare pathological entity in the central nervous system. The course of intramedullary SFT is unknown and careful long-term follow-up is recommended.

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Neurologia i Neurochirurgia Polska