RSS-Feed abonnieren

DOI: 10.4103/ajns.AJNS_295_17
Exploring a tumor spectrum in a patient with familial angiolipomatosis

Angiolipomas are uncommon spinal tumors which differ from their cutaneous counterparts in having larger caliber vascular stroma. Although slow growing, they can cause rapid spinal cord compression and sudden-onset sensorimotor symptoms due to vascular engorgement, hemorrhage, or thrombosis. The goal of surgery is spinal decompression, and favorable outcome is the rule. We report a patient with spinal angiolipoma, vertebral hemangioma along with subcutaneous lipomas and angiolipomas, exhibiting the entire histopathological spectrum of these related soft-tissue tumors. Analysis of his family tree revealed a hereditary predilection. Familial angiolipomatosis is an uncommon genetic condition which has not been reported to occur with spinal angiolipomas thus far.
Financial support and sponsorship
Nil.
Publikationsverlauf
Artikel online veröffentlicht:
09. September 2022
© 2019. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
-
References
- 1 Pagni CA, Canavero S. Spinal epidural angiolipoma: Rare or unreported? Neurosurgery 1992;31:758-64.
- 2 Hemavathy S, Roy S, Kiresur A. Intraosseous angiolipoma of the mandible. J Oral Maxillofac Pathol 2012;16:283-7.
- 3 Abbasi NR, Brownell I, Fangman W. Familial multiple angiolipomatosis. Dermatol Online J 2007;13:3.
- 4 Blei F, Walter J, Orlow SJ, Marchuk DA. Familial segregation of hemangiomas and vascular malformations as an autosomal dominant trait. Arch Dermatol 1998;134:718-22.
- 5 Kacar S, Kuran S, Temucin T, Odemis B, Karadeniz N, Sasmaz N, et al. Rectal angiolipoma: A case report and review of literature. World J Gastroenterol 2007;13:1460-5.
- 6 Hattori H. Epidural angiolipoma is histologically distinct from its cutaneous counterpart in the calibre and density of its vascular component; a case report with review of the literature. J Clin Pathol 2005;58:882-3.
- 7 Andaluz N, Balko G, Bui H, Zuccarello M. Angiolipomas of the central nervous system. J Neurooncol 2000;49:219-30.
- 8 Oge HK, Söylemezoglu F, Rousan N, Ozcan OE. Spinal angiolipoma: Case report and review of literature. J Spinal Disord 1999;12:353-6.
- 9 Liebeskind AL, Azar-Kia B, Batnitzky S, Schechter MM. Intraspinal lipomas. Neuroradiology 1974;7:198-200.
- 10 Hungs M, Paré LS. Spinal angiolipoma: Case report and literature review. J Spinal Cord Med 2008;31:315-8.
- 11 Boockvar JA, Black K, Malik S, Stanek A, Tracey KJ. Subacute paraparesis induced by venous thrombosis of a spinal angiolipoma: A case report. Spine (Phila Pa 1976) 1997;22:2304-8.
- 12 Labram EK, el-Shunnar K, Hilton DA, Robertson NJ. Revisited: Spinal angiolipoma – three additional cases. Br J Neurosurg 1999;13:25-9.
- 13 Preul MC, Leblanc R, Tampieri D, Robitaille Y, Pokrupa R. Spinal angiolipomas. Report of three cases. J Neurosurg 1993;78:280-6.
- 14 Samdani AF, Garonzik IM, Jallo G, Eberhart CG, Zahos P. Spinal angiolipoma: Case report and review of the literature. Acta Neurochir (Wien) 2004;146:299-302.
- 15 Provenzale JM, McLendon RE. Spinal angiolipomas: MR features. AJNR Am J Neuroradiol 1996;17:713-9.
- 16 Preul MC, Leblanc R. MRI in the diagnosis of spinal extradural angiolipoma. Br J Neurosurg 1993;7:328.
- 17 Leu NH, Chen CY, Shy CG, Lu CY, Wu CS, Chen DC, et al. MR imaging of an infiltrating spinal epidural angiolipoma. AJNR Am J Neuroradiol 2003;24:1008-11.
- 18 Stanford University School of Medicine. Surgical Pathology Criteria – Lipoma Variant: Angiolipoma; 2016. Available from: http://www.surgpathcriteria.stanford.edu/softfat/lipoma/angiolipoma.html. [Last accessed on 2016 Apr 28].
- 19 Cina SJ, Radentz SS, Smialek JE. A case of familial angiolipomatosis with Lisch nodules. Arch Pathol Lab Med 1999;123:946-8.
- 20 Bancroft LW, Kransdorf MJ, Peterson JJ, O'Connor MI. Benign fatty tumors: Classification, clinical course, imaging appearance, and treatment. Skeletal Radiol 2006;35:719-33.
- 21 Sciot R, Akerman M, Dal Cin P, De Wever I, Fletcher CD, Mandahl N, et al. Cytogenetic analysis of subcutaneous angiolipoma: Further evidence supporting its difference from ordinary pure lipomas: A report of the CHAMP Study Group. Am J Surg Pathol 1997;21:441-4.
- 22 Bordet R, Ghawche F, Destée A. Epidural angiolipoma and multiple familial lipomatosis. Rev Neurol (Paris) 1991;147:740-2.