Primary epidural malignant hemangiopericytoma of thoracic spinal column causing cord compression: case report.
BACKGROUND
Hemangiopericytoma is an uncommon mesenchymal neoplasm that rarely affects the spinal canal. Primary malignant hemangiopericytoma of the spinal column is extremely rare.


METHODS
We report on a case of primary epidural malignant hemangiopericytoma of the thoracic spinal column that invaded vertebral bone and caused spinal cord compression in a 21-year-old man. The patient presented with progressive back pain over a four-month period that progressed to paraparesis, bilateral leg paresthesia and urinary incontinence. The surgical intervention involved laminectomy and subtotal resection of the tumor, with posterior vertebral fixation. Postoperative involved-field radiotherapy was administered. A marked neurological improvement was subsequently observed. We describe the clinical, radiological, and histological features of this tumor and review the literature.
Mohammadianpanah
Mohammad
M
Shiraz University of Medical Sciences, Shiraz, Iran. mohpanah@sums.ac.ir
Torabinejad
Simin
S
Bagheri
Mohammad Hadi
MH
Omidvari
Shapour
S
Mosalaei
Ahmad
A
Ahmadloo
Niloofar
N
D000328:Adult; D003937:Diagnosis, Differential; D015174:Epidural Neoplasms / Q000150:complications* / Q000175:diagnosis; D006393:Hemangiopericytoma / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D007796:Laminectomy; D008279:Magnetic Resonance Imaging; D008297:Male; D013117:Spinal Cord Compression / Q000175:diagnosis / Q000209:etiology*; D013904:Thoracic Vertebrae / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed