J Korean Neurosurg Soc.  2010 Sep;48(3):276-280. 10.3340/jkns.2010.48.3.276.

Intradural Involvement of Multicentric Myxoid Liposarcoma

Affiliations
  • 1Department of Neurological Surgery, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, Korea. scrhim@amc.seoul.kr
  • 2Department of Pathology, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, Korea.
  • 3Department of Neurosurgery, Seoul National University Bundang Hospital, Seongnam, Korea.

Abstract

Liposarcomas are malignant tumors of the soft tissue, with myxoid liposarcoma being the second most common subtype, tending to occur in the limbs, particularly in the thighs. Myxoid liposarcomas have an intermediate prognosis between well-differentiated and pleomorphic tumors. Spinal metastasis is usual but intradural involvement is extremely rare. We present an unusual case of a multicentric myxoid liposarcoma with intradural involvement. A 41-year-old woman complained of tingling sensation on her left arm. Radiological evaluation revealed multiple masses in her cervical spine, abdominal wall, liver, heart and right thigh, all of which were resected. She was histologically diagnosed with small round cell myxoid sarcoma and underwent adjuvant chemotherapy. However, magnetic resonance imaging analysis after 1 year revealed a large metastatic mass with bony invasion at the C6-T1 level. This mass consisted of extradural and intradural components causing severe compression of the spinal cord. She underwent resection via a posterior facetectomy of C6-7 and an anterior C7 corpectomy. However, the patient died of multiple metastases 18 months after the first diagnosis.

Keyword

Cervical spine; lntradural; Multicentric; Myxoid liposarcoma; Metastasis

MeSH Terms

Abdominal Wall
Adult
Arm
Chemotherapy, Adjuvant
Extremities
Female
Heart
Humans
Liposarcoma
Liposarcoma, Myxoid
Liver
Magnetic Resonance Imaging
Neoplasm Metastasis
Prognosis
Sarcoma
Sensation
Spinal Cord
Spine
Thigh
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