Journal of Korean Neurosurgical Society

  • 제48권3호
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  • Pages.276-280
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  • 2010
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Intradural Involvement of Multicentric Myxoid Liposarcoma

  • Cho, Su-Hee (Department of Neurological Surgery, Asan Medical Center, College of Medicine, University of Ulsan) ;
  • Rhim, Seung-Chul (Department of Neurological Surgery, Asan Medical Center, College of Medicine, University of Ulsan) ;
  • Hyun, Seung-Jae (Department of Neurosurgery, Seoul National University Bundang Hospital) ;
  • Bae, Chae-Wan (Department of Neurological Surgery, Asan Medical Center, College of Medicine, University of Ulsan) ;
  • Khang, Shin-Kwang (Department of Pathology, Asan Medical Center, College of Medicine, University of Ulsan)
  • 투고 : 2010.11.20
  • 심사 : 2010.09.13
  • 발행 : 2010.09.28
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초록

Liposarcomas are malignant tumors of the soft tissue, with myxoid liposarcoma being the second most common subtype, tending to occur in the limbs, particularly in the thighs. Myxoid liposarcomas have an intermediate prognosis between well-differentiated and pleomorphic tumors. Spinal metastasis is usual but intradural involvement is extremely rare. We present an unusual case of a multicentric myxoid liposarcoma with intradural involvement. A 41-year-old woman complained of tingling sensation on her left arm. Radiological evaluation revealed multiple masses in her cervical spine, abdominal wall, liver, heart and right thigh, all of which were resected. She was histologically diagnosed with small round cell myxoid sarcoma and underwent adjuvant chemotherapy. However, magnetic resonance imaging analysis after 1 year revealed a large metastatic mass with bony invasion at the C6-T1 level. This mass consisted of extradural and intradural components causing severe compression of the spinal cord. She underwent resection via a posterior facetectomy of C6-7 and an anterior C7 corpectomy. However, the patient died of multiple metastases 18 months after the first diagnosis.

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참고문헌

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  1. Rare myxoid liposarcoma metastasis to the interventricular septum of the heart vol.56, pp.3, 2014, https://doi.org/10.1016/j.crvasa.2013.07.004
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  3. Surgical management of spinal liposarcoma: a case series of 7 patients and literature review vol.25, pp.12, 2010, https://doi.org/10.1007/s00586-015-4374-3
  4. Primary Myxoid Liposarcoma of the Upper Thoracic Spine in an Elderly Patient vol.8, pp.1, 2017, https://doi.org/10.4103/jnrp.jnrp_99_17
  5. Vertebroplasty and delayed subdural cauda equina hematoma: Review of literature and case report vol.5, pp.8, 2017, https://doi.org/10.12998/wjcc.v5.i8.333
  6. Primary intradural liposarcoma of the cervical spine: Case report vol.8, pp.4, 2018, https://doi.org/10.4103/ais.ais_9_19
  7. Multidisciplinary surgical planning for en bloc resection of malignant primary cervical spine tumors involving 3D-printed models and neoadjuvant therapies: report of 2 cases vol.30, pp.4, 2010, https://doi.org/10.3171/2018.9.spine18607
  8. Multidisciplinary surgical planning for en bloc resection of malignant primary cervical spine tumors involving 3D-printed models and neoadjuvant therapies: report of 2 cases vol.30, pp.4, 2010, https://doi.org/10.3171/2018.9.spine18607
  9. Intradural extramedullary metastasis: a review of literature and case report vol.5, pp.1, 2010, https://doi.org/10.1038/s41394-019-0181-0