Hsiu-Ping Chou1, Yi-Jhih Huang1, Kai-Hsiung Ko2, Yu-Chun Lin3 and Tsai-Wang Huang1*
1Department of Surgery, Division of Thoracic Surgery, Tri-Service General Hospital, Taiwan
2Department of Radiology, Tri-Service General Hospital, Taiwan
3Department of Pathology, Tri-Service General Hospital, Taiwan
The spinal angiolipoma is a rare disease. It is a benign lesion that composed of angiomatous and lipomatous structure. It can be diagnosed via the magnetic resonance imaging. Spinal cord compression is common and the neurological symptoms may also appear. Surgical resection is the most important treatment that relieved the symptoms. Spinal angiolipoma rarely recurred. However, some residual lesions may cause newly developed neurological symptoms. Adjuvant radiotherapy is a choice after the surgical resection. Most of the patients underwent surgical resection. After the surgical treatment, the neurological deficit in this patients vanished. However, some studies shows treatment of infiltrating angiolipomas is aimed at wide excision with radiotherapy indicated for cases of recurrence. Surgical removal should be followed by closely monitoring with physical examination and image even when the pathologically reported benign tumor. Further radiotherapy may be taken into consideration if this benign tumor has any malignant potential.
Angiolipoma; Tumors; Treatment
Chou H-P, Huang Y-J, Ko K-H, Lin Y-C, Huang T-W. Treatment of a Refractory Angiolipoma with Thoracic Extension. Ann Clin Case Rep. 2019; 4: 1639.