title: En bloc spondylectomy for primary malignant fibrous histiocytoma of the thoracic spine with aortic involvement: case report.
abstract: In this article, the authors describe a 48-year-old man who initially presented with progressively worsening back pain. Magnetic resonance imaging revealed a soft-tissue mass involving the T10-11 vertebral bodies with extension anteriorly into the aorta as well as epidural extension without spinal cord compression. A biopsy of the mass showed findings consistent with a malignant fibrous histiocytoma (MFH). A total en bloc spondylectomy with resection and reconstruction of the involved aorta using a vascular graft was performed. The patient received postoperative radiation therapy and is neurologically intact at 18 months postoperatively. To the authors' knowledge, this is the first reported case of a spinal MFH resection with aortic reconstruction.
authors: Departments of 1 Neurosurgery.
authors: Aravind
authors: A
authors: Somasundaram
authors: Robert T
authors: RT
authors: Wicks
authors: Adrian L
authors: AL
authors: Lata
authors: Shadi A
authors: SA
authors: Qasem
authors: Wesley
authors: W
authors: Hsu
mesh_terms: D001013:Aorta, Thoracic / Q000473:pathology* / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D003131:Combined Modality Therapy; D005500:Follow-Up Studies; D051677:Histiocytoma, Malignant Fibrous / Q000473:pathology* / Q000532:radiotherapy / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D009460:Neurologic Examination; D011183:Postoperative Complications / Q000175:diagnosis; D018714:Radiotherapy, Adjuvant; D013125:Spinal Neoplasms / Q000175:diagnosis / Q000473:pathology* / Q000532:radiotherapy / Q000601:surgery*; D013904:Thoracic Vertebrae / Q000473:pathology* / Q000601:surgery*
keywords: MEP = motor evoked potential; MFH = malignant fibrous histiocytoma; SSEP = somatosensory evoked potential; aortic reconstruction; malignant fibrous histiocytoma; mediastinal mass; neoadjuvant chemotherapy; oncology; thoracic spinal tumor