Primary vascular bone tumors in the spine: a challenge for pathologists and spine oncology surgeons View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2019-03-21

AUTHORS

Stefano Boriani, Riccardo Cecchinato, Alberto Righi, Stefano Bandiera, Angelo Paolo Dei Tos, Riccardo Ghermandi, Alessandro Gasbarrini

ABSTRACT

PurposePrimary vascular bone tumors of the spine represent a challenge for oncology surgeons, due to the need of planning a surgical strategy appropriate to the tumor behavior. But these tumors represent a challenge also for pathologists, as immunohistochemical and molecular analyses have recently refined the terminology.MethodsA cohort of 81 cases was retrospectively reviewed, targeting the evolution of diagnoses and the treatment-related outcome. Sixty-six cases (including one case originally diagnosed as chordoma) were diagnosed before 2011, and 15 were diagnosed and treated in the period 2011–2017. Fully documented outcome studies are available for 46 patients whose immunohistochemical and molecular analyses were available. The follow-up ranges from 6 months of the early patient death to 300 months of the longest disease-free survival.ResultsThe outcome was related not only to the treatment performed, but also to the evolution of diagnoses. The term Hemangioendothelioma that defined a benign aggressive (Enneking stage 3) tumor is now obsolete and replaced by the diagnosis of Epithelioid Hemangioma for benign aggressive tumor and Epithelioid Hemangioendothelioma for low-grade malignant tumor. En bloc resection was appropriate for local control, but 2 out of 7 cases of epithelioid Hemangioendotheliomas died due to the spread of the disease None of the Hemangiomas recurred after intralesional excision with or without radiotherapy, or after vertebroplasty. Both cases of Angiosarcoma had a fast and lethal evolution.ConclusionsSurgeons must be aware of the evolution of terminology to decide the most appropriate treatment options.Graphical abstractThese slides can be retrieved from Electronic Supplementary Material. More... »

PAGES

1502-1511

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00586-019-05930-5

DOI

http://dx.doi.org/10.1007/s00586-019-05930-5

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1112918644

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30900092


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