Spinal schwannoma

Case contributed by Dr Eric F Greif

Presentation

Chronic back pain

Patient Data

Gender: Female
CT

Lumbar CT

Circumscribed, mixed density, partially enhancing, solid/cystic mass extending into the right L5-S1 neural foramina. The mass demonstrates fluid-fluid levels. There is mass effect upon the right iliopsoas muscle. There is no osseous destruction. Mild bony remodeling at the inferior aspect of the right L5 transverse process.

MRI

Circumscribed, mixed intensity, partially enhancing, solid/cystic mass extending into the right L5-S1 neural foramina. The mass demonstrates fluid-fluid levels and T1 hyperintensity, likely hemorrhage. There is mass effect upon the right iliopsoas muscle. There is no osseous destruction.

Case Discussion

Biopsy Proven:

Pathologic Diagnosis DESIGNATED RIGHT PARASPINAL; RIGHT PARASPINAL MASS BIOPSY: Benign peripheral nerve sheath tumor with degenerative changes, consistent with schwannoma.

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Case information

rID: 53779
Case created: 6th Jun 2017
Last edited: 6th Jun 2017
System: Spine
Inclusion in quiz mode: Included

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