Correlation between clinical, imaging, histological and pathological aspects in the diagnosis of spinal extramedular tumors and pseudotumors
Keywords:
neoplasms of the spinal cord, magnetic resonance image, meningioma, compression of the spinal cord.Abstract
Introduction: The intradural extraspinal tumors are morbidity and mortality cause. To identify and analyze them, the magnetic resonance is the imaging diagnostic means of election.
Objective: To characterize patients with intradural extramedular spinal tumors and pseudotumors according to clinical, imaging (by magnetic resonance) histological and pathological variables.
Methods: An observational, descriptive, longitudinal and prospective study was carried out in 20 patients with suspicious clinical diagnosis of intradural extraspinal tumor or pseudotumor or not, confirmed by means of magnetic resonance who were assisted in the Imaging Department of Dr. Juan Bruno Zayas Alfonso Teaching General Hospital in Santiago de Cuba from January, 2014 to the same month in 2017, coming from the general hospitals of this province and Guantánamo.
Results: There was a higher frequency of the male sex (70.0 %), mainly 60 and more years (30.0 %), as well as of the vertebral pain (100.0 %) and disorders of the muscle stretch reflex (65.0 %) as symptoms and signs of the neoplasm processes. According to the intensity of the signs captured in the magnetic resonance, the isointense tumors prevailed in the sequence T1 (70,0 %) and the hyperintense and isointense in the sequence T2 (35.0 % in each one), mainly of dorsal localization (60.0 %). Also, the most common supicious clinical diagnosis was that of compressive myelopathy (25.0 %), as long as, among the imaging, histological and pathological diagnosis the metastasis and meningiomas were notable.
Conclusions: The magnetic resonance offers an approach to the definitive diagnosis of these tumors, which is corroborated by means of the histological and pathological study.
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References
2. Rojas Ramírez LI, Fisher L. Concordancia diagnóstica entre la secuencia T1 simple y la secuencia T1 con gadolinio, en resonancia magnética cerebral. Rev Ciencias de la Salud y Educación Médicas. 2021 [citado 13/04/2022];3(3). Disponible en: https://revistacienciasmedicas.unan.edu.ni/index.php/rcsem/article/view/70
3. Torres L, Mora H, Castañeda J, Criollo J, Sola J, Cedeño W. Resultados neurológicos en pacientes con diagnóstico de tumores raquídeos intradurales extramedulares. Revista científica INSPILIP. 2018 [citado 13/04/2022];2(3). Disponible en: https://docs.bvsalud.org/biblioref/2019/04/987241/7-resultados-neurologicos-en-pacientes-con-diagnostico-de-tumor_4RlvfFy.pdf
4. Osborn AG. Quistes, tumores y lesiones seudotumorales de la columna vertebral y de la médula espinal. En: Neurorradiología diagnóstica. Madrid: Elsevier; 1996. p. 876-916.
5. Martín Gómez C, Zarranz Sarobe D, Riñones Mena E, Alonso García E, Rubio Sanz MJ, Dehesa García A. Tumores medulares: clasificación y semiología por resonancia magnética nuclear. Madrid: SERAM; 2018 [citado 19/06/2022]. Disponible en: https://piper.espacio-seram.com/index.php/seram/article/download/91/90/178
6. Palacios Ruilova K, Reyes Luna M, Freire Cuesta S. Tumor cervical intradural extramedular. Presentación de caso. CEDAMAZ. 2018 [citado 19/06/2022];8(1):15-22. Disponible en: https://revistas.unl.edu.ec/index.php/cedamaz/article/view/548/419
7. Piñón García K, Galindo García E, Almeida Esquivel Y. Anestesia en paciente con síndrome de la cauda equina por meningioma de localización lumbar. Rev Electrónica Dr. Zolio E. Marinello Vidaurreta. 2019 [citado 16/03/2022];44(4):1-5. http://revzoilomarinello.sld.cu/index.php/zmv/article/view/1758/pdf_599
8. Singuepire A, Figueredo Acosta H, Fonseca Sosa K. Caracterización clínica epidemiológica de pacientes operados de tumores raquimedulares. Rev Cubana de Med Militar 2019 [citado 16/03/2022];48(1). Disponible en: http://www.revmedmilitar.sld.cu/index.php/mil/article/view/196/266
9. Neurocirugía Contemporánea. Schwannoma espinal. 2020 [citado 08/04/2022]. Disponible en: http://neurocirugiacontemporanea.com/doku.php?id=schwannoma_espinal
10. Goldman SA. Tumores medulares. En: Manual MSD versión para profesionales. Kenilworth: Merck Sharp & Dohme; 2021 [citado 10/04/2022]. Disponible en: https://www.msdmanuals.com/es/professional/trastornos-neurol%C3%B3gicos/tumores-intracraneanos-y-medulares/tumores-medulares
11. Fernández C, Nicholas MK, Engelhard HH, Slavin KV, Koshy M. An analysis of prognostic factors associated with recurrence in the treatment of atypical meningiomas. Adv Radiat Oncol. 2016 [citado 16/03/2022];1(2):89-93. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5506715/
12. Santos Júnior EC, Dantas F, Caires ACV, Cariri GA, Túlio D. Reis M, Botelho RV, et al. Evaluation of Surgically Treated Primary Spinal Cord Tumors in a Single Brazilian Institution: A Case series study of 104 patients. Cureus. 2022 [citado 01/03/2022];14(3). Disponible en: https://assets.cureus.com/uploads/original_article/pdf/90536/20220422-22370-1odk8l7.pdf
13. Guerrero-Suarez PD, Magdaleno-Estrella E, Guerrero-López P, Vargas-Figueroa AI, Martínez-Anda JJ. Intradural spinal tumors: 10 - years surgical experience in a single institution. Clin Neurol Neurosurg. 2018;169:98-102.
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