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Solitary thoracic Epstein-Barr virus-associated smooth muscle tumor presenting after kidney transplant: illustrative
Brandon M Zsigray1, Andrew C Pickles2, Heather Smith3
1Department of Neurological Surgery, Loyola University Medical Center, Maywood.
Background:
Epstein-Barr virus-associated smooth muscle tumors (EBV-SMTs) are rare neoplasms that primarily occur in the setting of immunosuppression from HIV/AIDS, solid organ transplant, or congenital/primary immunodeficiencies. The majority of posttransplant patients present with multifocal disease; however, solitary spine tumors can occur at initial presentation.
Observations:
The authors present the case of a solitary spinal EBV-SMT presenting 1 year after a renal transplant.
Lessons:
Although EBV-SMTs are a rare entity, they should be considered in the differential diagnosis of solitary spine tumors in immunocompromised or immunosuppressed patients. https://thejns.org/doi/10.3171/CASE25754.
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