Epithelioid Hemangioma of the Thoracic Spine: A Case Report and Review of the Literature

Eijiro Okada, Morio Matsumoto, Mitsuhiro Nishida, Takahito Iga, Midori Morishita, Masaki Tezuka, Kiyoshi Mukai, Eisuke Kobayashi, Kota Watanabe

Research output: Contribution to journalArticle

Abstract

Context: Osseous epithelioid hemangioma is uncommon, and reports of epithelioid hemangiomas of the spine are especially rare. Study Design: Case report. Findings: A 43-year-old male was referred to our department with progressive gait disturbance. CT scans showed a lucent mass in the vertebral body at the T3 level. MRI of the thoracic spine showed a strongly enhanced mass compressing the spinal cord. The patient underwent laminectomy from T2 to T4, debulking of the tumor, and posterior fusion from T1 to T5. After the operation, the patient's neurological status improved significantly, and he was able walk without assistance. Histological examination determined that the tumor was an epithelioid hemangioma. The patient was treated with 40 Gy radiation for local control of the tumor. The patient could walk without difficulty 12 months after the surgery. Conclusion: This is a rare example of an epithelioid hemangioma that developed in the thoracic spine and compressed the spinal cord, and was treated successfully.

Original languageEnglish
Pages (from-to)800-805
Number of pages6
JournalJournal of Spinal Cord Medicine
Volume42
Issue number6
DOIs
Publication statusPublished - 2019 Nov 2

Keywords

  • Epithelioid hemangioma
  • benign tumor
  • radiation
  • spinal compression
  • spinal instrumentation
  • spinal tumor
  • surgical treatment
  • thoracic spine

ASJC Scopus subject areas

  • Clinical Neurology

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