Published in: Journal of Surgical Case Reports
Authors: Sabina Patel; Trisha Suji; Graeme Pang; Varinder S. Alg; Ravindran Visagan; Zita Reisz; Jose P. Lavrador; Ahilan Kailaya-Vasan; Gordan Grahovac
Year: 2022
Publication details: 2022(5):rjac221
DOI: 10.1093/jscr/rjac221
Publication type: Case series and literature review
Topic: spinal tumour, myxoma, case series, spinal surgery, diagnostic imaging

Simple summary

This publication contributes to understanding a rare spinal tumour diagnosis that may mimic other lesions on imaging. It is useful for explaining the importance of careful diagnostic assessment and multidisciplinary interpretation in unusual spinal cases.

Mr Kailaya-Vasan’s involvement

Mr Kailaya-Vasan, consultant neurosurgeon and neurovascular surgeon, is listed as a contributing author on this publication.

Published abstract

The following abstract is reproduced from the original publication and is provided for reference. It may include technical terminology intended for clinical or academic audiences.

Intramuscular myxomas are rare, benign mesenchymal tumours, occurring predominantly in large skeletal muscles as large, slow-growing and painless masses. Spinal occurrence is rare, and may present incidentally, or diagnosed via localised symptoms secondary to local infiltration of surrounding structures. Differential diagnosis based on imaging includes sarcomas, meningiomas and lipomas. We discuss two contrasting cases presenting with well-circumscribed cystic paraspinal lesions indicative of an infiltrative tumour and discuss the radiological and histological differences that distinguish myxomas from similar tumours. Surgical resection of the tumour was performed in both cases, however one patient required surgical fixation due to bony erosion secondary to tumour infiltration. Immuno-histopathological analysis confirmed the diagnosis of a cellular myxoma. Follow up imaging at 6 months confirmed no symptomatic or tumour recurrence in both cases. Histological analysis is the definitive means for diagnosis to differentiate myxomas from other tumours. Recurrence is rare if full resection is achieved.

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Disclaimer

This publication page is provided for general information about Mr Kailaya-Vasan’s academic work. It is not medical advice and should not be used to guide individual diagnosis or treatment decisions. Patients should discuss their individual symptoms, diagnosis and treatment options with a specialist.