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J Neurosci Rural Pract. 2017 Aug;8:S120-S122. doi: 10.4103/jnrp.jnrp_99_17.

Primary Myxoid Liposarcoma of the Upper Thoracic Spine in an Elderly Patient.

Journal of neurosciences in rural practice

Aristedis Rovlias, Alexia Balanika, Alexandros Nomikos, Savas Melissaris

Affiliations

  1. Department of Neurosurgery, Asclepeion General Hospital of Voula, Athens, Greece.
  2. Department of Computed Tomography, Asclepeion General Hospital of Voula, Athens, Greece.
  3. Department of Pathology, Asclepeion General Hospital of Voula, Athens, Greece.

PMID: 28936087 PMCID: PMC5602236 DOI: 10.4103/jnrp.jnrp_99_17

Abstract

Liposarcoma, one of the most common soft-tissue sarcomas, originates from primitive mesenchymal cells, and its diagnostic criteria have been well established. Myxoid liposarcoma is the second most common histological subtype, occurring more frequently during the fourth and fifth decades of life. There are only a few sporadic published cases of spinal liposarcomas, whatever primary or metastatic. We describe an unusual case of primary myxoid liposarcoma of the thoracic spine in a 79-year-old male, presented with a 2-month history of intractable dorsal pain and progressive weakness of lower limbs. Surgical treatment was performed with wide tumor resection, spinal cord decompression, and posterior instrumentation complemented by radiotherapy. Only one other case has been reported with this spinal localization in the literature. Despite its rarity, myxoid liposarcoma should be considered in the differential diagnosis of primary tumors of the thoracic spine.

Keywords: Liposarcoma; myxoid liposarcoma; primary spinal tumors; thoracic spine

Conflict of interest statement

There are no conflicts of interest.

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