2013, Number 5
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Rev Med Inst Mex Seguro Soc 2013; 51 (5)
Myxoid liposarcoma of the lumbosacral spine. Clinical case report
Granados-López SL, Tavares-García JS, Pérez-Contreras A
Language: Spanish
References: 11
Page: 587-591
PDF size: 518.66 Kb.
ABSTRACT
Background: liposarcoma is a malignant tumor of soft tissue and
the most common sarcoma in the adult life. The myxoid liposarcoma
accounts for 30 to 35 % of all liposarcomas. It is commonly seen on the
thighs. Only two cases in which the liposarcoma was found in the vertebral
column have been reported.
Clinical case: this is a 28 year old woman with symptoms of spinal cord
injury by compression (tottering gait, weakness 4/5 and decreased sensibility
in right leg). The MRI showed a right paravertebral multinodular
mass from L4 to S2, with solid and cystic aspects, following the S1
and S2 intervertebral foramen to the presacral space, with low signal
intensity on T1 and high on T2. The diagnosis of neurofibroma was concluded.
The patient was scheduled for surgery. Extra and intraspinal
excision was performed and a mass was removed. Histopathologic study
reported myxoid liposarcoma.
Conclusions: liposarcoma is a malignant tumor of soft tissues. The
spine is a rare location for this neoplasm, even for metastases. It is diffi -
cult to achieve a complete resection in this localization, so the recurrence
rate is high.
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