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Intramedullary spindle cell hemangioendothelioma of the thoracic spinal cord--case report.

Authors
Type
Published Article
Journal
Neurologia medico-chirurgica
Publication Date
Volume
42
Issue
6
Pages
259–263
Identifiers
PMID: 12116532
Source
Medline
License
Unknown

Abstract

A 28-year-old Malay man presented with progressive paraparesis over a period of 6 months. Magnetic resonance imaging of the spine revealed a thoracic intramedullary spinal cord tumor at the T-7 level with homogeneous enhancement following intravenous gadolinium administration. Laminectomy and partial decompression of the tumor was performed. Histological examination of the tumor revealed features of spindle cell hemangioendothelioma. The patient was managed with limited field radiotherapy followed by systemic interferon therapy. Good neurological improvement was seen subsequently. The patient has survived 48 months with growth restraint at the primary site, although residual neurological deficit persists. Immunotherapy should be considered as a treatment modality for intramedullary hemangioendothelioma of the spinal cord after surgery and radiotherapy.

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