Sun SF, Wang XH, Yuan YY, Shao YD. Rare giant intradural epidural hemolymphangioma: A case report. World J Clin Cases 2024; 12(25): 5798-5804 [PMID: 39247738 DOI: 10.12998/wjcc.v12.i25.5798]
Corresponding Author of This Article
Yuan-Dong Shao, MD, Chief Doctor, Department of Spine Surgery, People's Hospital of Binzhou City, No. 515 Huanghe 7th Road, Bincheng District, Binzhou 256600, Shandong Province, China. syd201213@126.com
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Shou-Feng Sun, Xue-Hua Wang, Yuan-Dong Shao, Department of Spine Surgery, Binzhou People’s Hospital, Binzhou 256600, Shandong Province, China
Ying-Ying Yuan, Department of Infectious Disease, Binzhou People’s Hospital, Binzhou 256600, Shandong Province, China
Author contributions: Sun SF reviewed the literature and contributed to manuscript drafting; Wang XH and Yuan YY were responsible for data collection and analysis; Shao YD was responsible for the revision of the manuscript; and all authors issued final approval for the version to be submitted.
Supported byThe Natural Science Foundation of Shandong Province, No. ZR2022LZY001; The Shandong Province traditional Chinese medicine science and technology project, No. M-2022133; The Shandong medical and health science and technology development plan project, No. 202004071188; The Practical teaching reform and research project of Binzhou Medical College, No. SJJY201927; and The Scientific research project of Affiliated Hospital of Binzhou Medical College, No. BY2020KJ74.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yuan-Dong Shao, MD, Chief Doctor, Department of Spine Surgery, People's Hospital of Binzhou City, No. 515 Huanghe 7th Road, Bincheng District, Binzhou 256600, Shandong Province, China. syd201213@126.com
Received: April 23, 2024 Revised: May 28, 2024 Accepted: July 1, 2024 Published online: September 6, 2024 Processing time: 84 Days and 16.5 Hours
Abstract
BACKGROUND
Hemolymphangioma is a rare, noninvasive benign tumor that originates from vascular and lymphatic malformations. It is usually congenital and can present with varying symptoms depending on its location and size. There are very few reports of hemolymphangiomas within the spinal canal, and giant lesions are exceptionally rare.
CASE SUMMARY
In July 2023, a 64-year-old male with a giant intravertebral epidural hemolymphangioma from thoracic 11 to lumbar 2 (T11-L2) was admitted to the Department of Spine Surgery at the People's Hospital of Binzhou City, China. The patient experienced progressive lumbar and left lower limb pain, numbness, weakness in both lower limbs, and difficulty with urination and defecation. Imaging studies revealed a large cystic mass in the spinal canal at T11-L2. Surgical decompression was performed, and the pathology confirmed hemolymphangioma.
CONCLUSION
Complete resection of hemolymphangiomas has the best prognosis, and final diagnosis relies on pathologic diagnosis. In this case, the mass was removed intact with a pedicle nail rod system, leading to adequate spinal decompression and restoration of spinal stability.
Core Tip: This case report emphasizes the importance of accurate diagnosis using magnetic resonance imaging combined with patient history and pathology. Surgical resection is the most effective treatment for hemolymphangiomas, especially when their growth compresses surrounding tissues. Complete radical resection may be necessary to prevent recurrence. The risk of recurrence is low, and there have been no reports of malignant transformation.
