Adrenal Cortical Adenoma in the Spinal Canal: A Case Report and Review of the Literature
| Autor: | Antonia Jakovčević, Ivan Domazet, Josip Paladino, Niko Njirić, Martina Štenger, Jakob Nemir |
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| Rok vydání: | 2019 |
| Předmět: |
Ependymoma
Pathology medicine.medical_specialty Adenoma Schwannoma Thoracic Vertebrae Meningioma Lesion 03 medical and health sciences 0302 clinical medicine Humans Medicine Spinal canal Spinal Cord Neoplasms Lumbar Vertebrae medicine.diagnostic_test business.industry Magnetic resonance imaging Middle Aged medicine.disease Spinal cord Magnetic Resonance Imaging Treatment Outcome medicine.anatomical_structure 030220 oncology & carcinogenesis Adrenocortical Adenoma Female Surgery Neurology (clinical) medicine.symptom business Spinal Canal 030217 neurology & neurosurgery |
| Zdroj: | Journal of Neurological Surgery Part A: Central European Neurosurgery. 81:071-074 |
| ISSN: | 2193-6323 2193-6315 |
| Popis: | Ectopic adrenal cortical neoplasms of the spinal cord are extremely rare. To date only 10 such cases have been described. We present a case of a 46-year-old woman with lower back pain radiating to the right gluteal and posterior femoral regions, without a history of traumatic injury. Magnetic resonance imaging (MRI) of the thoracic and lumbar spine showed an intradural, extramedullary, well-circumscribed, contrast-enhancing lesion located in the T12–L1 region, hypo- to isointense on T2-weighted imaging, and isointense on T1. Complete surgical removal of the lesion, measuring 3 × 2.5 × 1 cm, was performed. The histopathologic findings revealed the lesion was an ectopic adrenal cortical adenoma, with sheets and nests of round and polygonal cells, mostly round regular nuclei, abundant eosinophilic cytoplasm, 1 mitosis per 10 high-power fields, and without necrosis. These tumors have nonspecific MRI features and therefore can be easily confused with other common spinal tumor types such as ependymoma, schwannoma, meningioma, and metastasis. Although rare, ectopic adrenal spinal cord adenomas should be taken into account in the differential diagnosis of spinal canal intradural neoplasms. |
| Databáze: | OpenAIRE |
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