Thoracic primary central nervous system melanoma and lumbar schwannoma of complex neurocristopathy: case report

J Neurosurg Spine. 2015 Dec;23(6):780-3. doi: 10.3171/2015.3.SPINE141265. Epub 2015 Aug 21.

Abstract

Complex neurocristopathy, a disorder resulting from the aberrant proliferation of tissues derived from neural crest cells, has been previously reported in 2 patients, both involving ophthalmic melanoma and other tumors. One patient had a periorbital neurofibroma, sphenoid wing meningioma, and choroid juxtapapillary meningioma. The other patient had a choroidal melanoma and an optic nerve sheath meningioma. The authors describe clinical and pathological findings in a patient who underwent resection of 2 distinct lesions: primary CNS melanoma at T-12 and an L-5 schwannoma. Clinical and histopathological findings of the case are reviewed. To the authors' knowledge, this is the first patient to present with complex neurocristopathy involving both a spinal melanoma and schwannoma.

Keywords: complex neurocristopathy; melanocytoma; oncology; schwannoma; spinal melanoma.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Humans
  • Lumbar Vertebrae*
  • Male
  • Melanoma / diagnosis*
  • Melanoma / therapy
  • Middle Aged
  • Neoplasms, Multiple Primary / diagnosis*
  • Neoplasms, Multiple Primary / therapy
  • Neurilemmoma / diagnosis*
  • Neurilemmoma / therapy
  • Spinal Cord Neoplasms / diagnosis*
  • Spinal Cord Neoplasms / therapy
  • Spinal Neoplasms / diagnosis*
  • Spinal Neoplasms / therapy
  • Thoracic Vertebrae