Learning objectives
-To analyze the patterns of intraspinal tumours based on their location and histological type.
-To describe their radiological features and pathological correlation.
-To evaluate clinical data,
treatment options,
and clinical outcome.
-To illustrate different practical cases.
Background
INTRODUCTION:
An intraspinal tumour is an abnormal mass of tissue within or surrounding the spinal cord and spinal column.
Intraspinal tumours may originate from the spinal cord,
filum terminale,
nerve roots,
meninges,
intraspinal vessels,
sympathetic chain,
or vertebrae.
They can be benign or malignant,
primary or secondary,
and may result in serious morbidity.
Intraspinal tumours are relatively uncommon lesions accounting for approximately 15% of craniospinal tumours.
However,
these lesions can cause significant morbidity and can be associated with mortality as well.
In establishing the differential...
Imaging findings OR Procedure details
MATERIALS,
METHODS AND RESULTS:
We retrospectively reviewed cases of intraspinal tumours treated at our institution from January 2008 to December 2011 (n = 67; 36 women,
31 men,
median age at diagnosis 53 years [range 18-83]).
In this period,
344 craniospinal tumours were treated in our centre,
thus representing a prevalence of 19% of intraspinal tumours (similar to published data).
We evaluated clinical data,
location,
histological type,
radiological features,
type of treatment,
and outcome.
Clinical symptoms were variable and determined by location and tumour size....
Conclusion
Intraspinal tumours may be difficult to distinguish,
and imaging findings together with information about symptoms,
age,
gender,
and location are helpful in the final diagnosis.
Accurate radiological description of these lesions is essential to ensure timely appropriate treatment.
Pathological correlation may help radiologists to better understand the radiological features.
References
1.
Bloomer CW,
Ackerman A,
Bhatia RG.
Imaging for Spine tumors and new applications.
Top Magn Reson Imaging.
2006 Apr;17(2):69-87.
2.
Van Goethem JW,
van den Hauwe L,
Ozsarlak O,
De Schepper AM,
Parizel PM.
Spinal Tumors.
Eur J Radiol.
2004 May;50(2):159-76.
3.Abul-Kasim K,
Thurnher MM,
McKeever P,
Sundgren PC.
Intradural spinal tumors: current classification and MRI features.
Neuroradiology.2008 Apr;50(4):301-14.
Epub 2007 Dec 15.
4.
Smith AB,
Soderlund KA,
Rushing EJ,
Smirniotopolous JG.
Radiologic-pathologic correlation of pediatric and adolescent spinal neoplasms: Part 1,
Intramedullary spinal...
Personal Information
Ana Mª Quiles Granado
Department of Radiology (IDI),
Girona Biomedical Research Institute, Hospital Universitari de Girona,
Dr Josep Trueta.
Girona,
Spain
[email protected]