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Intraosseous spinal glomus tumors: case report.

Nicholas C Bambakidis1, Pankaj Gore, Jennifer Eschbacher

  • 1Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona 85013, USA. neuropub@chw.edu

Neurosurgery
|June 1, 2007
PubMed
Summary

Intraosseous spinal glomus tumors are rare, but can grow large and extend into surrounding areas. Preoperative embolization may be beneficial for suspected glomus tumors.

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Area of Science:

  • Spinal oncology
  • Vascular tumors
  • Surgical pathology

Background:

  • Glomus tumors are rare neoplasms originating from glomus bodies.
  • Intraosseous spinal glomus tumors are exceptionally rare, with limited cases reported.
  • These tumors typically present with severe back pain, often in the midthoracic spine or sacrum.

Observation:

  • This report details the largest intraosseous spinal glomus tumor documented to date.
  • The tumor arose in the L3 lumbar vertebra of a 44-year-old male with a year-long history of neurological symptoms.
  • The lesion exhibited a dumbbell shape, extending through the neural foramen into the epidural space.

Findings:

  • Surgical resection was performed in a two-stage approach.
  • Severe intraoperative hemorrhage required emergent angiographic embolization.

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  • Histopathology confirmed the tumor originated from smooth muscle cells of a glomus body.

    • Implications:

    • Intraosseous spinal glomus tumors can significantly enlarge and invade adjacent compartments.
    • Preoperative embolization should be considered for large suspected glomus tumors to mitigate surgical bleeding.
    • Early diagnosis and management are crucial for these rare spinal neoplasms.