Sanromán-Álvarez P, Simal-Julián JA, Miranda-Lloret P, Pérez-Borredá P, Botella-Asunción C. [Sacral metastasis simulating aneurysmal bone cyst].
Neurocirugia (Astur) 2013;
25:77-80. [PMID:
23731559 DOI:
10.1016/j.neucir.2013.03.006]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2013] [Revised: 03/22/2013] [Accepted: 03/25/2013] [Indexed: 10/26/2022]
Abstract
Cystic spinal lesions with characteristic patterns, such as the presence of haematic fluid-fluid levels (H-FFL), have been associated with many tumoral lineages, more frequently with aneurysmal bone cyst (ABC) and exceptionally with metastasis. We present the case of a 60-year-old man with the finding of a sacral cystic bone lesion with H-FFL, with initial suspicion of ABC and confirmed diagnosis of metastasis. The case presented is, to our knowledge, the second case published of spinal cystic bone metastasis with H-FFL pattern with unknown primary tumour at the time of diagnosis and the only one that received resective surgical treatment, achieving pulmonary and metastatic disease control with good quality of life after 1 year of follow up.
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