Intraspinal dural-based primary osteoblastoma with aneurysmal bone cyst-like change

Xinge Fu, Juhong Jiang, Bo Ning Luo, Xiao Ying TIAN, Zhi Li*

*Corresponding author for this work

Research output: Contribution to journalJournal articlepeer-review

2 Citations (Scopus)

Abstract

Osteoblastoma is a benign bone-forming neoplasm that occurs commonly in the posterior elements of the spine and the sacrum. However, so far there has been no report of intradural osteoblastoma described in the literature. We present a unique case of intraspinal dural-based osteoblastoma with aneurysmal bone cyst-like change without evidence of vertebral involvement. An 11-year-old Chinese girl presented with a 3-month history of gradually progressive back pain and a weakness of both lower limbs. Thoracic MRI revealed a well-demarcated subdural mass at the T5 level with heterogeneous enhancement. Histologically, the tumor was found to be attached to the dura and composed of numerous osteoid spicules and trabecular bone with diffusely scattered osteoclast-type, multinucleated giant cells. Ectactic blood vessels and blood-filled cystic spaces were also observed. A diagnosis of primary intraspinal dural-based osteoblastoma with aneurysmal bone cyst-like change was made. To our best knowledge, this is possibly the first case of primary osteoblastoma arising from meninges. Meningeal osteocartilaginous tumors are rare, with obscure histogenesis. The differential diagnosis of osteoblastoma in unusual locations is difficult and the confirmation of diagnosis should be cautiously made. Awareness of dural-based osteoblastoma and its histological features is important to avoid a diagnostic pitfall caused by histological similarities to other intra-craniospinal lesions with osteoid differentiation or bone formation.

Original languageEnglish
Pages (from-to)510-515
Number of pages6
JournalNeuropathology
Volume34
Issue number5
DOIs
Publication statusPublished - 1 Oct 2014

Scopus Subject Areas

  • Pathology and Forensic Medicine
  • Clinical Neurology

User-Defined Keywords

  • Aneurysmal bone cyst
  • Differential diagnosis
  • Histogenesis
  • Intraspinal neoplasm
  • Osteoblastoma

Fingerprint

Dive into the research topics of 'Intraspinal dural-based primary osteoblastoma with aneurysmal bone cyst-like change'. Together they form a unique fingerprint.

Cite this