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Dumbbell-Shaped Extramedullary Hemangioblastoma of the Thoracic Spine as a Diagnostic Dilemma of Solitary Fibrous Tumor

Authors Sereke SG, Bongomin F, Owor G

Received 30 November 2020

Accepted for publication 29 January 2021

Published 12 February 2021 Volume 2021:14 Pages 77—81


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Professor Ronald Prineas

Senai Goitom Sereke,1 Felix Bongomin,2 Geraldine Owor3

1Department of Radiology and Radiotherapy, School of Medicine, Makerere University College of Health Sciences, Kampala, Uganda; 2Department of Medical Microbiology and Immunology, Faculty of Medicine, Gulu University, Gulu, Uganda; 3Department of Pathology, School of Biomedical Sciences, Makerere University College of Health Sciences, Kampala, Uganda

Correspondence: Senai Goitom Sereke
Department of Radiology and Radiotherapy, School of Medicine, Makerere University College of Health Sciences, Kampala, Uganda
Tel +256-786-271-349

Introduction: Extramedullary hemangioblastoma is a very rare entity that has been rarely reported in the literature.
Case Presentation: A 17-year-old female presented with limping that rapidly progressed to paraparesis and urine incontinence over a one-month duration. Clinically, she had a small swelling on her spine. There was a diagnostic challenge when an enhanced magnetic resonance imaging (MRI) suggested dumbbell – shaped intradural extramedullary mass in the lower thoracic spine, hypointense on T1 and hyperintense on T2 sequences and heterointense on post contrast sequence. The radiologic differentials were pictures of nerve sheath tumors. However, histopathological examination of en bloc excisional biopsy showed hemangioblastoma with a differential of solitary fibrous tumor. Complete excision of the mass was done intraoperatively and the patient improved clinically.
Conclusion: Contrast-enhanced MRI and histopathologic correlation are important for evaluating these rare tumors.

Keywords: hemangioblastoma, solitary fibrous tumor, extramedullary, intradural-extradural, dumbbell-shaped

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