title: An unusual presentation of solitary fibrous tumor.
abstract: METHODS
  Case report of a lumbar extradural solitary fibrous tumor.
  
  
  OBJECTIVE
  To describe the clinical manifestations and successful treatment of a patient with solitary fibrous tumor of the lumbar spine.
  
  
  BACKGROUND
  Solitary fibrous tumor usually occurs on the pleura but has been described in a growing number of sites. Although this is the first case in a lumbar extradural location, clinicians should be aware of the many guises in which this entity appears. Most cases are benign and cure is effected by surgical extirpation.
  
  
  METHODS
  The diagnosis, treatment, and outcome of a patient with a lumbar extradural solitary fibrous tumor are reviewed.
  
  
  RESULTS
  A patient showing signs of myeloradiculopathy was found, by means of magnetic resonance imaging, to have an intensely enhancing extradural lesion in the region of L1. Excision biopsy revealed features of a solitary fibrous tumor. The patient made a rapid, complete recovery.
  
  
  CONCLUSIONS
  Solitary fibrous tumor has protean clinical manifestations and should be be considered in the differential diagnosis of intraspinal enhancing lesions on either side of the dura.
authors.affiliation: Department of Pathology, University of Natal Medical School, Durban, South Africa.
authors.forename: R B
authors.initials: RB
authors.lastname: Donnellan
authors.forename: D
authors.initials: D
authors.lastname: Govender
authors.forename: S H
authors.initials: SH
authors.lastname: Chite
authors.forename: A T
authors.initials: AT
authors.lastname: Landers
mesh_terms: D000328:Adult; D005350:Fibroma / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007796:Laminectomy; D008159:Lumbar Vertebrae / Q000473:pathology / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D013125:Spinal Neoplasms / Q000473:pathology / Q000601:surgery*