Leiomyosarcoma in a cervical myelomeningocele: a rare complication in a neglected case
Sandeep Mohindra1, Aman Batish2, Manjul Tripathi2
1Department of Neurosurgery, Postgraduate Institute of Medical Education and Research, Sector 12, Chandigarh, 160012, India. sandeepneuro@gmail.com.
Background And Importance:
Asymptomatic myelomeningoceles are usually more of cosmetic deformities and left without evaluation and untreated, amongst low socio-economic strata. Such midline swellings, if left neglected may become the seat for malignancies, usually of squamous cell origin.
Clinical Presentation:
The authors report a case of an 18-year-old male patient who developed leiomyosarcoma within chronically neglected cervical myelomeningocele.
Conclusion:
A non-healing ulcer of any aetiology is a bed for carcinogenesis. Neglected myelomeningoceles, for any reason, may convert a benign entity to a malignant pathology. To our best knowledge, this is the first case of a leiomyosarcoma arising de novo from myelomeningocele.
