Intraosseous glomus tumor of the spine

Case report and review of the literature

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✓ The authors report a case of glomus tumor originating within the lumbar spine. Glomus tumors of intraosseous origin are rare, with the only case reported in the spine arising in the sacrum. The patient presented with the solitary complaint of radiating back pain that resolved postoperatively. The histopathological and radiographic findings are reviewed. To the authors' knowledge, this represents the first case report of a glomus tumor of the spine originating above the sacrum.

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Address reprint requests to: James C. Robinson, M.D., North Georgia Neurosurgical Associates, 500 Medical Center Boulevard, Suite 390, Lawrenceville, Georgia 30245.

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Figures

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    Plain x-ray film revealing a lytic, slightly expansile lesion in the right L-1 pedicle (arrowheads).

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    Axial computerized tomography section showing the tumor to be lytic and well circumscribed. Surrounding bony sclerosis can be appreciated (black arrowheads). The mass is confined to the pedicle, but the medial wall is nearly deficient (white arrow).

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    Magnetic resonance imaging revealing a homogeneous lesion in the right L-1 pedicle. Upper Left: The mass (black arrows) is of low signal intensity on T1-weighted images. Upper Right: Following gadolinium administration, the tumor enhances brightly (white arrows). Lower Left: Abnormal high signal intensity on T2-weighted images (white arrowheads) is limited by the tumor boundaries. Lower Right: An enhanced axial T1-weighted fat-suppressed image highlights the tumor (arrowheads).

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    Photomicrograph revealing cords and strands of uniform-appearing rounded cells within a hyalinized-to-myxoid stroma. Some of the neoplastic cells form “collars” around capillary-sized blood vessels. H & E, original magnification × 100.

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