背景:血淋巴管瘤是一种罕见的,起源于血管和淋巴畸形的非侵袭性良性肿瘤。它通常是先天性的,并且可以根据其位置和大小而表现出不同的症状。很少有关于椎管内血淋巴管瘤的报道,巨大的病变非常罕见。
方法:2023年7月,滨州市人民医院脊柱外科收治1例64岁男性胸11-腰2型巨大椎管内硬膜外血管瘤(T11-L2),中国。患者出现进行性腰椎和左下肢疼痛,麻木,双下肢无力,排尿和排便困难。影像学研究显示,T11-L2的椎管内有大量囊性肿块。进行了手术减压,病理证实为血淋巴管瘤。
结论:完全切除血淋巴管瘤预后最好,最终诊断依赖于病理诊断。在这种情况下,用椎弓根钉棒系统完整地去除肿块,导致充分的脊柱减压和脊柱稳定性的恢复。
BACKGROUND: Hemolymphangioma is a rare, noninvasive benign tumor that originates from vascular and lymphatic malformations. It is usually congenital and can present with varying symptoms depending on its location and size. There are very few
reports of hemolymphangiomas within the spinal canal, and giant lesions are exceptionally rare.
METHODS: In July 2023, a 64-year-old male with a giant intravertebral epidural hemolymphangioma from thoracic 11 to lumbar 2 (T11-L2) was admitted to the Department of Spine Surgery at the People\'s Hospital of Binzhou City, China. The patient experienced progressive lumbar and left lower limb pain, numbness, weakness in both lower limbs, and difficulty with urination and defecation. Imaging studies revealed a large cystic mass in the spinal canal at T11-L2. Surgical decompression was performed, and the pathology confirmed hemolymphangioma.
CONCLUSIONS: Complete resection of hemolymphangiomas has the best prognosis, and final diagnosis relies on pathologic diagnosis. In this
case, the mass was removed intact with a pedicle nail rod system, leading to adequate spinal decompression and restoration of spinal stability.