Mahabadi A, Askariardehjani N, Rezvani M, Shafiei M, Mahmoodkhani M. Solitary Fibrous Tumor One Year After Posterior Cervical
Laminectomy. Iran J Neurosurg 2023; 9 :9-9
URL:
http://irjns.org/article-1-345-en.html
1- Department of Neurosurgery, School of Medicine, Kashani Hospital, Isfahan University of Medical Sciences, Isfahan, Iran , amirmahabadi@med.mui.ac.ir
2- Department of Neurosurgery, Isfahan University of Medical Sciences, Isfahan, Iran
3- Department of Neurosurgery, School of Medicine, Kashani Hospital, Isfahan University of Medical Sciences, Isfahan, IranNeurosurgery, Isfahan University of Medical Sciences, Isfahan, Iran
Abstract: (450 Views)
Background and importance: Cervical laminectomy and fixation (PCF) is a surgery used in the treatment of symptomatic patients who are resistant to medical therapy, though it can have serious complications affecting patient outcomes.
Case Presentation: This case report describes a rare occurrence of a solitary fibrous tumor (SFT) at the site of a previous cervical laminectomy in a 45-year-old female patient. Following non-surgical treatment for paresthesia and weakness in the upper limbs due to cervical stenosis, the patient underwent cervical laminectomy from C3-6 without instrumentation.
Conclusion: One year after surgery, the patient presented with severe pain and swelling at the surgical site, and radiological evaluation revealed a large mass in the para-vertebral muscular layer. The mass was removed, and microscopic evaluation revealed a typical SFT. The patient underwent an extension of laminectomy and fusion with lateral mass screw, and follow-up at six months showed no recurrence of the tumor.
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• Posterior cervical laminectomy can lead to rare soft tissue tumor formation.
• A 45-year-old female developed a solitary fibrous tumor 1 year after surgery.
• The radiological evaluation helped determine the diagnosis of a solitary fibrous tumor.
• The tumor was removed and the patient underwent an extension of laminectomy and fusion.
• Recurrence of the tumor was not observed after a 6-month follow-up.
• Injury to mesenchymal tissue may be a risk factor for solitary fibrous tumors.
Type of Study:
Case report |
Subject:
Spine