Masson’s tumor of the thoracic spine: a rare cause of slowly progressive paraplegia

Andrija Kostić; Nemanja Rančić; Jelena Golubović; Milica Pantić

doi:10.2298/VSP240118040K

Andrija Kostić Clinical Hospital Center “Dr. Dragiša Mišović-Dedinje”, Clinic for Neurology, Belgrade, Serbia
Nemanja Rančić University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, Serbia; Military Medical Academy, Center for Clinical Pharmacology, Belgrade, Serbia
Jelena Golubović University Hospital Medical Center “Bežanijska kosa”, Department of Radiology, Belgrade, Serbia
Milica Pantić University of Kragujevac, Faculty of Medical Sciences, Kragujevac, Serbia; University Clinical Center Kragujevac, Clinic for Psychiatry, Kragujevac, Serbia

DOI: https://doi.org/10.2298/VSP240118040K

Ključne reči: dijagnoza;, dijagnoza, diferencijalna;, histološke tehnike;, magnetska rezonanca, snimanje;, neoplazme, vaskularno tkivo;, neurohirurške procedure;, kičmeni kanal

Sažetak

Uvod. Intravaskularna papilarna endotelna hiperplazija je neobična reaktivna proliferacija endotelnih ćelija oko organizovanog tromba, koja se javlja ili u proširenom krvnom sudu, hematomu ili u postojećoj vaskularnoj leziji. Ovi tumori retko zahvataju centralni nervni sistem. Simptomi zavise od lokalizacije samog procesa. Lokalizacija u centralnom nervnom sistemu ograničena je na intrakranijalni prostor. Lokalizacija u kičmenom kanalu izuzetno je retka, a do sada je u literaturi opisano samo nekoliko kliničkih slučajeva. Prikaz bolesnika. Bolesnica stara 67 godina je prvobitno pregledana od strane neurologa zbog obostrane slabosti donjih ekstremiteta, praćene osećajem bola i napetosti mišića, dominantno u natkolenicama, više desno. Tegobe su se pojavile godinu dana ranije, pre toga je bila stabilnog zdravstvenog stanja. Zbog teškog neurološkog deficita i potrebe za detaljnim ispitivanjem, bolesnica je hospitalizovana. Urađena je dijagnostika kojom je utvrđen patološki proces u torakalnom 5–6 regionu kičmenog stuba. Urađena je operacija dekompresije, a ex tempore nalazom isključena je metastaza. Definitivnim patohistološkim nalazom utvrđen je Masonov tumor. Neurološka slabost se povukla posle operacije. Zaključak. Masonov tumor, iako je retko lokalizovan u kičmenom kanalu, izlečiv je ukoliko se pravilno dijagnostikuje i primeni odgovarajući terapijski pristup. Prvobitno ispoljeni simptomi mogu ličiti na mnogobrojne neurološke ili sistemske bolesti, zbog čega kliničari moraju neprekidno imati na umu tako retke patološke procese.

Reference

Oktar N, Ozer HM, Demirtas E. Spinal intravascular papillary endothelial hyperplasia. Case report and review of the literature. Br J Neurosurg 2023; 37(4): 738–40.

Ng HJH, Sio BR, Desai V, Chew KM, Rajaratnam V. Intravas-cular Papillary Endothelial Hyperplasia: Case Report of a Re-current Masson's Tumor of the Finger and Review of Litera-ture. J Hand Microsurg 2021; 13(3): 164–8.

Clearkin KP, Enzinger FM. Intravascular papillary endothelial hyperplasia. Arch Pathol Lab Med 1976; 100(8): 441–4.

Gu HL, Zheng XQ, Zhan SQ, Chang YB. Intravascular papillary endothelial hyperplasia as a rare cause of cervicothoracic spinal cord compression: A case report World J Clin Cases 2021; 9(34): 10681–88.

Porter DG, Martin AJ, Mallucci CL, Makunura CN, Sabin HI. Spinal cord compression due to Masson's vegetant intravascular hemangioendothelioma. Case report. J Neurosurg 1995; 82(1): 125–7.

Ali SZ, Farmer PM, Black K, Rosenthal A. Masson's hemangioma of spinal meninges causing cord compression with paraplegia. Ann Clin Lab Sci 1994; 24(4): 371–5.

Mozhdehipanah H, Samiei F, Sayadnasiri M. Masson's hemangioma: A very rare cause of spinal cord compression. Neurol India 2013; 61(1): 89–90.

Mahapatra QS, Sahai K, Malik A, Mani NS. Intravascular papillary endothelial hyperplasia: An unusual histopathological entity. Indian Dermatol Online J 2015; 6(4): 277–9.

Barritt AW, Merve A, Epaliyanage P, Aram J. Intracranial papillary endothelial hyperplasia (Masson's tumour) following gamma knife radiosurgery for temporal lobe epilepsy. Pract Neurol 2017; 17(3): 214–7.

Narwal A, Sen R, Singh V, Gupta A. Masson's hemangioma: A rare intraoral presentation. Contemp Clin Dent 2013; 4(3): 397–401.

Clifford PD, Temple HT, Jorda M, Marecos E. Intravascular papillary endothelial hyperplasia (Masson's tumor) presenting as a triceps mass. Skeletal Radiol 2004; 33(7): 421–5.

Mardani P, Askari A, Shahriarirad R, Ranjbar K, Erfani A, Anbardar MH, et al. Masson's Tumor of the Hand: An Uncommon Histopathological Entity. Case Rep Pathol 2020; 2020: 4348629.

Bhalla N, Husband DJ, Pillay R, Thorp N. Radiotherapy for a benign cause of cauda equina compression in a known case of breast carcinoma. BMJ Case Rep 2013; 2013: bcr2013009549.

Masonov tumor torakalnog dela kičmenog stuba: redak uzrok sporoprogresivne paraplegije

Sažetak

Reference