Solitary Fibrous tumor of the lumbar spine mimicking a sequestered disc fragment

oleh: Terence Verla, MD MPH, Venita Simpson, MD, Alexander E. Ropper, MD

Format: Article
Diterbitkan: Elsevier 2021-03-01

Deskripsi

Solitary fibrous tumor in the lumbar spine is a rare pathology with non-specific radiographic features, sometimes resulting in misdiagnosis. Our patient was a 41-year old female who presented with low back pain and bilateral leg pain. Initial MRI showed a lesion misdiagnosed for a sequestered disc at the mid L4-5 level, which was subsequently characterized appropriately and treated surgically, with resolution of symptoms. Pathologic diagnosis was most consistent with a solitary fibrous tumor due to STAT 6 and CD 34 reactivity. Long-term follow up is recommended in these patients to monitor tumor recurrence and evidence of metastasis.