Lumbar nerve root tumor

Case contributed by Dr Bruno Di Muzio

Presentation

Incidental finding on abdominal imagining for other reasons.

Patient Data

Age: 70-year-old
Gender: Female
CT

CT Abdomen and pelvis (selected images)

Selected images demonstrating a well-defined enhancing mass mildly expanding the right L2/3 intervertebral foramen. Some ill-defined hypodense central areas. 

MRI

MRI Abdomen (selected images)

The foraminal mass is again noted confirming the heterogeneity seen on CT due to small cystic/necrotic component.

Case Discussion

Incidental finding on abdominal imaging of a nerve root tumor enlarging the L2/3 intervertebral foramen. The differential diagnosis is made basically between schwannoma and neurofibroma, the first favored. 

This case was managed conservatively, no histological confirmations was obtained. 

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Case information

rID: 45622
Published: 11th Jun 2016
Last edited: 14th Aug 2019
System: Spine
Tag: rmh
Inclusion in quiz mode: Included

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