Desmoplastic fibroma of the spine causing severe mediastinal compression and brachial plexus encasement

Lau, Darryl; Yarlagadda, Jay; Jahan, Thierry; Jablons, David M.; Chou, Dean

doi:10.3171/2013.7.spine121080

Cited by 3 publications

(2 citation statements)

References 26 publications

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“…9 Lau et al reported the use of unilateral hemiclamshell thoracotomies to excise large spine tumors invading the mediastinum and chest cavity, but they did not report the use of bilateral hemiclamshell thoracotomies. 29 The traditional formal clamshell thoracotomy does not involve an upper sternotomy. 30 However, because in our patient the sternum was split for the hemiclamshell thoracotomy, the present case is technically a bilateral hemiclamshell thoracotomy (midline sternal split), not a traditional clamshell thoracotomy (no midline sternotomy).…”

Section: Discussionmentioning

confidence: 99%

Clamshell thoracotomy for en bloc resection of a 3-level thoracic chordoma: technical note and operative video

Burke

Chan

Mayer

et al. 2020

Neurosurgical Focus

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The clamshell thoracotomy is often used to access both hemithoraxes and the mediastinum simultaneously for cardiothoracic pathology, but this technique is rarely used for the excision of spinal tumors. We describe the use of a clamshell thoracotomy for en bloc excision of a 3-level upper thoracic chordoma in a 20-year-old patient. The lesion involved T2, T3, and T4, and it invaded both chest cavities and indented the mediastinum. After 2 biopsies to confirm the diagnosis, the patient underwent a posterior spinal fusion followed by bilateral clamshell thoracotomy for 3-level en bloc resection with simultaneous access to both chest cavities and the mediastinum. To demonstrate how the clamshell thoracotomy was used to facilitate the tumor resection, an operative video and illustrations are provided, which show in detail how the clamshell thoracotomy can be used to access both hemithoraxes and the mediastinum.

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Section: Discussionmentioning

confidence: 99%

Clamshell thoracotomy for en bloc resection of a 3-level thoracic chordoma: technical note and operative video

Burke

Chan

Mayer

et al. 2020

Neurosurgical Focus

Self Cite

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“…In at bones, a mass may be palpable, generally without dysfunction. When it occurs around the joints, the joint activity can be affected, and the nerve crush syndrome can take place when the lesion involves the spine 10 . Some patients had pathological fractures as the main presentation.…”

Section: Discussionmentioning

confidence: 99%

Imaging Diagnosis and Differentiation of Desmoplastic Fibroma of Bone

Zhong

Cao

Guo

et al. 2020

Preprint

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Background: To analyze the imaging features of desmoplastic fibroma of bone (DFB) for correct diagnosis. Methods: The plain radiography, computed tomography (CT) and magnetic resonance imaging (MRI) of 20 patients with DFB were retrospectively analyzed. Results: Twenty patients with DFB were retrieved including eleven males and nine females with an age range of 2-52 years (median 27). The DFB involved the femur in six patients, ilium in five, tibia in four, humerus in two, lumbar vertebra in one, radius in one, and calcaneus in the remaining one. DFB was common in the metaphysis of long bones could involve the diaphysis and epiphysis. The imaging presentations were divided into four types: the cystic expansile destruction, osteolytic destruction, mixed destruction, and paraosseous destruction. CT value was 30 -60 Hu in the lesion area (6 cases CT value＞45Hu). MRI had low mixed signals on T1WI and high mixed signals on T2WI. Soft tissue masses might be present in DFB. Conclusions: DFB is a rare tumor with strong local aggressiveness, imaging presentation of cystic bone destruction, low signals on T1WI and T2WI in the lesion, which are helpful for diagnosis of the disease and differentiation from other ones.

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Clinical and Imaging Features of Desmoplastic Fibroma of Bone for Correct Diagnosis and Differentiation

Zhang

Cao

Zhong

et al. 2022

CMIR

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Objective: To analyze the clinical and imaging features of desmoplastic fibroma of bone (DFB) for correct diagnosis. Materials and methods: Twenty patients with DFB confirmed by pathology were enrolled, and the imaging presentations were analyzed. Among 20 patients, plain X-ray was performed in all patients, computed tomography (CT) was performed in 12, and magnetic resonance imaging (MRI) was conducted in eight. The clinical and imaging presentations were analyzed and classified to assist correct diagnosis. Results: Twenty patients with DFB were retrieved including eleven males and nine females with an age range of 2-52 years (median 27). The DFB involved the femur in six patients, ilium in five, tibia in four, humerus in two, lumbar vertebra in one, radius in one, and calcaneus in the remaining one. DFB was common in the metaphysis of long bones could involve the diaphysis and epiphysis. The imaging presentations were divided into four types: the cystic expansile destruction in ten patients, osteolytic destruction in five, mixed destruction in four, and paraosseous destruction in one. CT value was 30 -60 Hu in the lesion area (6 cases CT value＞45Hu). In eight patients with MRI scanning, the lesion in five patients presented with unevenly equal or low signal on T1WI and unevenly equal or high signal on T2WI, with irregular stripes or patches of low signal on both T1WI and T2WI. In the rest three patients, the lesion was evenly equal or low signal on T1WI and evenly high signal on T2WI. MRI more clearly showed a mass in the adjacent soft tissue and the range of edema in the DFB lesion. Conclusion: DFB is a rare tumor with strong local aggressiveness, cystic bone destruction, formation of tumor bone trabeculae, soft tissue masses on imaging presentations, low signals on T1WI and T2WI in the lesion, but no periosteal reaction or calcification, which are helpful for diagnosis of the disease and differentiation from other ones.

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Desmoplastic fibroma of the spine causing severe mediastinal compression and brachial plexus encasement

Cited by 3 publications

References 26 publications

Clamshell thoracotomy for en bloc resection of a 3-level thoracic chordoma: technical note and operative video

Clamshell thoracotomy for en bloc resection of a 3-level thoracic chordoma: technical note and operative video

Imaging Diagnosis and Differentiation of Desmoplastic Fibroma of Bone

Clinical and Imaging Features of Desmoplastic Fibroma of Bone for Correct Diagnosis and Differentiation

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