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輔仁醫學期刊

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篇名 Lumbar epidural angiolipoma: A rare case report
卷期 15:4
並列篇名 腰椎硬脊膜外血管脂肪瘤:罕見病例報告
作者 曾紹鈞謝政達張志儒
頁次 203-208
關鍵字 lumbar spineangiolipomaepidural spacesurgery腰椎血管脂肪瘤硬脊膜外腔手術
出刊日期 201712
DOI 10.3966/181020932017121504004

中文摘要

脊椎血管脂肪瘤是由成熟脂肪組織和異常血管組成的罕見良性腫瘤。這些病灶最 常被發現於硬脊膜外腔後側,特別是胸椎中段位置。然而,腰椎硬脊膜外血管脂肪瘤 在文獻中很少被報導。此案例為一名50 歲女性抱怨腰痛伴隨左腿疼痛。磁振造影顯像 發現在腰椎第一二節處,有一啞鈴形狀之病灶並造成神經根壓迫。經手術治療將腫瘤 完全清除後,病理檢查證實了此病灶為血管脂肪瘤。文中我們也就相關文獻進行了 綜述。

英文摘要

Spinal angiolipomas are rare benign tumors composed of mature fatty tissue and abnormal vascular elements. These lesions are most commonly found in the posterior spinal epidural space, especially within the mid-thoracic spine. However, case of lumbar epidural angiolipoma have been rarely reported in literature. Here, we report the case of a 50-year-old woman who presented with low back pain and left leg pain and in whom magnetic resonance imaging revealed a dumbbellshaped mass in the neural foramen around L1-L2 with root compression. The tumor was completely removed, and pathological examination confirmed the diagnosis of angiolipoma. We also reviewe the relevant literature.

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