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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 84(3)

Paraplegia due to spinal epidural lipoma without spinal dysraphism in an adolescent patient: a case report

https://doi.org/10.18999/nagjms.84.3.656
https://doi.org/10.18999/nagjms.84.3.656
9bacab0b-5ec3-4dfd-9d42-e0565db836c9
名前 / ファイル ライセンス アクション
17_Segi.pdf 17_Segi.pdf (12.9 MB)
license.icon
Item type itemtype_ver1(1)
公開日 2022-09-05
タイトル
タイトル Paraplegia due to spinal epidural lipoma without spinal dysraphism in an adolescent patient: a case report
言語 en
著者 Segi, Naoki

× Segi, Naoki

en Segi, Naoki

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Nakashima, Hiroaki

× Nakashima, Hiroaki

en Nakashima, Hiroaki

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Ando, Kei

× Ando, Kei

en Ando, Kei

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Machino, Masaaki

× Machino, Masaaki

en Machino, Masaaki

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Ito, Sadayuki

× Ito, Sadayuki

en Ito, Sadayuki

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Matsumoto, Akiyuki

× Matsumoto, Akiyuki

en Matsumoto, Akiyuki

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Koshimizu, Hiroyuki

× Koshimizu, Hiroyuki

en Koshimizu, Hiroyuki

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Tomita, Hiroyuki

× Tomita, Hiroyuki

en Tomita, Hiroyuki

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Nojima, Takayuki

× Nojima, Takayuki

en Nojima, Takayuki

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Imagama, Shiro

× Imagama, Shiro

en Imagama, Shiro

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アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
権利
言語 en
権利情報Resource http://creativecommons.org/licenses/by-nc-nd/4.0/
権利情報 Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
キーワード
主題Scheme Other
主題 spinal epidural tumor
キーワード
主題Scheme Other
主題 spinal epidural lipoma
キーワード
主題Scheme Other
主題 spinal epidural liposarcoma
内容記述
内容記述 We report the case of a rare lipoma arising in the epidural space of a 14-year-old boy without spinal dysraphism. Lipomas are rare in pediatric soft tissue tumors, accounting for only about 4% of cases. The incidence of an intraspinal epidural lipoma without spinal dysraphism is extremely rare in pediatric patients. In this case, the patient had progressive motor deficits in the lower extremities and difficulty in urination and defecation. Magnetic resonance imaging showed an extradural tumor compressing the spinal cord at the T3–T7 level. Because of the progressive neurological deficits, we performed an emergency surgery. The tumor was completely resected en bloc, and histopathology revealed mature adipose tissue with fibrous septa, diagnosed as atypical lipomatous tumor / well-differentiated liposarcoma. The patient fully recovered and there was no tumor recurrence for 6 years since the surgery. However, re-examination using fluorescence in situ hybridization after 6 years of surgery changed the diagnosis to lipoma as no amplification of murine double-minute type 2 oncogene was observed. In liposarcoma, histopathological diagnosis using fluorescence in situ hybridization is mandatory. Our case illustrates that immunohistochemical diagnosis alone can be misleading. Hence, prompt surgery is required for progressive neuropathy.
言語 en
内容記述タイプ Abstract
出版者
言語 en
出版者 Nagoya University Graduate School of Medicine, School of Medicine
言語
言語 eng
資源タイプ
資源タイプresource http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
ID登録
ID登録 10.18999/nagjms.84.3.656
ID登録タイプ JaLC
関連情報
関連タイプ isVersionOf
識別子タイプ URI
関連識別子 https://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/843.html
収録物識別子
収録物識別子タイプ PISSN
収録物識別子 0027-7622
収録物識別子
収録物識別子タイプ EISSN
収録物識別子 2186-3326
書誌情報 en : Nagoya Journal of Medical Science

巻 84, 号 3, p. 656-663, 発行日 2022-08
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