Desmoid fibromatosis following surgical resection of spinal meningioma

Bilal Mujtaba; Catherine Call; Fauniel Rowland; Rosario P Spear; Behrang Amini; Raul Valenzuela; Sameh Nassar

doi:10.1016/j.radcr.2020.02.004

Desmoid fibromatosis following surgical resection of spinal meningioma

Radiol Case Rep. 2020 Apr 7;15(6):697-701. doi: 10.1016/j.radcr.2020.02.004. eCollection 2020 Jun.

Authors

Bilal Mujtaba¹, Catherine Call¹, Fauniel Rowland¹, Rosario P Spear¹, Behrang Amini¹, Raul Valenzuela¹, Sameh Nassar¹

Affiliation

¹ Department of Diagnostic Radiology, Musculoskeletal Imaging Section, University of Texas MD Anderson Cancer Center 1515 Holcombe BLVD, Unit 1475, Houston, TX 77030.

Abstract

A 42-year-old female patient with a history of cervicothoracic junction meningioma World Health Organization grade I, resected in early 2011, was admitted to the hospital with intractable headache and lower extremity weakness. Magnetic resonance imaging (MRI) showed an epidural mass compressing the spinal cord at the prior surgical site, which was interpreted as recurrent meningioma. Following surgical resection, histopathological analysis revealed desmoid fibromatosis (desmoid tumor). In retrospect, dynamic contrast-enhanced magnetic resonance imaging performed prior to surgery should have allowed for prospective exclusion of meningioma as the recurrent mass and suggested an alternative diagnosis such as post-traumatic desmoid fibromatosis or the need for biopsy to confirm diagnosis.

Keywords: Aggressive fibromatosis; DCE-MRI; Desmoid fibromatosis; Desmoid tumor; Dynamic contrast-enhanced MRI; Spinal meningioma; Spine.

Publication types

Case Reports