Inflammatory Myofibroblastic Tumor of Cervical Spine: Report of a Case

頸椎發炎性僞腫瘤：病例報告

張志儒(Chih-Ju Chang) ； 黃志達(Chih-Ta Huang) ； 吳毅穎(Yih-Yiing Wu) ； 姜周禮(Chou-Li Chiang)

《Formosan Journal of Surgery》 43卷6期 (2010/12) Pp. 321-326

https://doi.org/10.29833/FJS.201012.0009

摘要

發炎性僞腫瘤是一種非常少見的疾病。臨床上它被認定爲是一種良性的但是俱有一定擴展性的偽惡性肉瘤的疾病。病因目前仍不清楚。這種疾病的原發位置，最常見的是肺部，但根據文獻的記載，這種疾患出現的位置可以在非常多的解剖位置，例如中樞神經系統、肝、脾、耳等。甚至有病例報告提出由肺部原發位置直接侵犯到胸椎椎體的例子。直接發生在頸椎椎體的病歷文獻上尚未見報告。我們提出一個發生在頸椎椎體發炎性偽腫瘤的罕見病例，包括臨床症狀、放射線診斷、手術及病理組織的發現，以及長期追蹤的結果。

並列摘要

Inflammatory myofibroblastic tumors or inflammatory pseudotumors are uncommon lesions. Clinically, they are considered benign, expanile and pseudosarcromatous lesions. The pathological mechanisms of the lesions remain unclear. Such lesions are well-recognized in the lungs and in various other anatomic locations as evident based on anatomical dissection, including central nervous system, liver, spleen and the ears etc. There has been reported in the literature of primary lung lesions directly invaded thoracic spine. However, cervical spine involvement as the primary site has never been reported. We report a rare case of cervical spinal inflammatory myofibroblastic tumor investigated by MRI and CT scan; illustrations of histology are also included. We outline the clinical course of this 55 years-old female patient in this case report.

並列關鍵字

cervical spine ； inflammatory myofibroblastic tumor ； inflammatory pseudotumor