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CC BY 4.0 · Surg J (N Y) 2017; 03(03): e117-e123
DOI: 10.1055/s-0037-1604159
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Primary Spinal Intradural Mesenchymal Chondrosarcoma with Several Local Regrowths Treated with Osteoplastic Laminotomies: A Case Report

Marek Derenda
1   Department of Neurosurgery, Regional Hospital, Elblag, Poland
,
Damian Borof
1   Department of Neurosurgery, Regional Hospital, Elblag, Poland
,
Ireneusz Kowalina
1   Department of Neurosurgery, Regional Hospital, Elblag, Poland
,
Wojciech Wesołowski
2   Department of Pathology, Regional Hospital, Elblag, Poland
,
Wojciech Kloc
3   Departments of Neurology & Neurosurgery, University of Varmia & Masuria University, Olsztyn, Poland
,
Ewa Iżycka-Świeszewska
4   Departments of Pathology & Neuropathology, Medical University of Gdansk, Poland
› Author Affiliations
Further Information

Publication History

15 January 2017

30 May 2017

Publication Date:
20 July 2017 (online)

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Abstract

Mesenchymal chondrosarcomas (MCSs) are rare malignant tumors of the bone and soft tissues. Only a few cases of such tumors originating from the spinal canal meninges have been described in the literature. The authors report on a case of a 22-year-old woman with MCS of the arachnoid at the T12-L1 level with a 14-year-long observation. The tumor was totally resected using osteoplastic laminotomy with reconstruction of laminar roof. This small spindle cell tumor was initially microscopically suspected of synovial sarcoma, but correctly verified with widened immunophenotyping and molecular studies as MCS. At its first recurrence, the neoplasm showed microscopically a typical bimorphic pattern of small round cell component with foci of hyaline cartilage. The patient experienced three local recurrences: 4, 6, and 10 years after the initial resection, respectively. The techniques of laminotomy and relaminotomy were also used during three following operations. The repeated surgical removal, radiotherapy, and chemotherapy were the methods of complex oncological treatment. The patient remains now in complete remission, fully self-dependent with slight motor disturbance, and mild sensory deficits. Current views on the clinicopathological characteristics and treatment modalities of the chondrosarcomas of the spinal canal are discussed.

Keywords

mesenchymal chondrosarcoma - intradural tumor - spinal tumor - neurosurgery - adjuvant treatment
 

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