Masson’s tumor of the thoracic spine: A rare cause of slowly progressive paraplegia
Introduction. Intravascular papillary endothelial hyperplasia is an unusual reactive proliferation of endothelial cells around an organized thrombus, which occurs either in a dilated blood vessel, hematoma, or preexisting vascular lesion. These tumors rarely affect the central nervous system. Sympto...
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2024-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | https://doiserbia.nb.rs/img/doi/0042-8450/2024/0042-84502400040K.pdf |
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| author | Kostić Andrija Rančić Nemanja Golubović Jelena Pantić Milica |
| author_facet | Kostić Andrija Rančić Nemanja Golubović Jelena Pantić Milica |
| author_sort | Kostić Andrija |
| collection | DOAJ |
| description | Introduction. Intravascular papillary endothelial hyperplasia is an unusual reactive proliferation of endothelial cells around an organized thrombus, which occurs either in a dilated blood vessel, hematoma, or preexisting vascular lesion. These tumors rarely affect the central nervous system. Symptoms depend on the localization of the process itself. Localization in the central nervous system is limited to the intracranial space. Localization in the spinal canal is extremely rare, and only a few clinical cases have been described so far in the literature. Case report. A 67- year-old female patient was examined neurologically initially due to bilateral weakness of the lower extremities, accompanied by a feeling of pain and muscle tension, dominantly in the upper legs, more to the right. The complaints were present a year ago, and before that period, the patient was in a stable state of health. Due to a severe neurological deficit and the need for detailed exploration, the patient was hospitalized. A diagnosis was performed, which showed the localization of the pathological process in the thoracic 5–6 region of the spinal column. Decompression surgery was performed, and with the ex tempore findings metastasis was ruled out. Definitive pathohistological findings proved Masson’s tumor. After the operation, the neurological weakness recovered. Conclusion. Masson’s tumor, although rarely localized in spinal canal, is curable if it is correctly diagnosed and if an adequate therapeutic approach is applied. The initially presented symptoms may resemble numerous neurological or systemic diseases, which requires the clinician to be continuously aware of such rare pathological processes. |
| format | Article |
| id | doaj-art-34a6fbf974f74fc7ae950b59d04d667d |
| institution | Kabale University |
| issn | 0042-8450 2406-0720 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-34a6fbf974f74fc7ae950b59d04d667d2025-08-20T03:55:06ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502406-07202024-01-0181851451810.2298/VSP240118040K0042-84502400040KMasson’s tumor of the thoracic spine: A rare cause of slowly progressive paraplegiaKostić Andrija0Rančić Nemanja1https://orcid.org/0000-0002-5122-8094Golubović Jelena2Pantić Milica3https://orcid.org/0009-0007-1617-0118Clinical Hospital Center “Dr. Dragiša Mišović-Dedinje”, Clinic for Neurology, Belgrade, SerbiaUniversity of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, Serbia + Military Medical Academy, Center for Clinical Pharmacology, Belgrade, SerbiaUniversity Hospital Medical Center “Bežanijska kosa”, Department of Radiology, Belgrade, SerbiaUniversity of Kragujevac, Faculty of Medical Sciences, Kragujevac, Serbia + University Clinical Center Kragujevac, Clinic for Psychiatry, Kragujevac, SerbiaIntroduction. Intravascular papillary endothelial hyperplasia is an unusual reactive proliferation of endothelial cells around an organized thrombus, which occurs either in a dilated blood vessel, hematoma, or preexisting vascular lesion. These tumors rarely affect the central nervous system. Symptoms depend on the localization of the process itself. Localization in the central nervous system is limited to the intracranial space. Localization in the spinal canal is extremely rare, and only a few clinical cases have been described so far in the literature. Case report. A 67- year-old female patient was examined neurologically initially due to bilateral weakness of the lower extremities, accompanied by a feeling of pain and muscle tension, dominantly in the upper legs, more to the right. The complaints were present a year ago, and before that period, the patient was in a stable state of health. Due to a severe neurological deficit and the need for detailed exploration, the patient was hospitalized. A diagnosis was performed, which showed the localization of the pathological process in the thoracic 5–6 region of the spinal column. Decompression surgery was performed, and with the ex tempore findings metastasis was ruled out. Definitive pathohistological findings proved Masson’s tumor. After the operation, the neurological weakness recovered. Conclusion. Masson’s tumor, although rarely localized in spinal canal, is curable if it is correctly diagnosed and if an adequate therapeutic approach is applied. The initially presented symptoms may resemble numerous neurological or systemic diseases, which requires the clinician to be continuously aware of such rare pathological processes.https://doiserbia.nb.rs/img/doi/0042-8450/2024/0042-84502400040K.pdfdiagnosisdifferential diagnosishistological techniquesmagnetic resonance imagingneoplasmsvascular tissueneurosurgical proceduresspinal canal |
| spellingShingle | Kostić Andrija Rančić Nemanja Golubović Jelena Pantić Milica Masson’s tumor of the thoracic spine: A rare cause of slowly progressive paraplegia Vojnosanitetski Pregled diagnosis differential diagnosis histological techniques magnetic resonance imaging neoplasms vascular tissue neurosurgical procedures spinal canal |
| title | Masson’s tumor of the thoracic spine: A rare cause of slowly progressive paraplegia |
| title_full | Masson’s tumor of the thoracic spine: A rare cause of slowly progressive paraplegia |
| title_fullStr | Masson’s tumor of the thoracic spine: A rare cause of slowly progressive paraplegia |
| title_full_unstemmed | Masson’s tumor of the thoracic spine: A rare cause of slowly progressive paraplegia |
| title_short | Masson’s tumor of the thoracic spine: A rare cause of slowly progressive paraplegia |
| title_sort | masson s tumor of the thoracic spine a rare cause of slowly progressive paraplegia |
| topic | diagnosis differential diagnosis histological techniques magnetic resonance imaging neoplasms vascular tissue neurosurgical procedures spinal canal |
| url | https://doiserbia.nb.rs/img/doi/0042-8450/2024/0042-84502400040K.pdf |
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