{"id":"9b797ecf-0537-4d81-a99f-daaa9b98d5a2","slug":"dorsal-epidural-spindle-cell-lipoma-in-a-pregnant-female","title":"Dorsal epidural “Spindle Cell Lipoma” in a pregnant female","authors":["Valerio di Norcia","Luigi Valentino Berra","Luca D’Angelo","Antonio Santoro"],"abstract":"Background: Spindle cell lipoma (SCL) constitutes just 1.5% of all lipomatous tumors. They typically occur in the upper back and shoulders. Here, we report a 37-year-old female presenting with a SCL in the dorsal epidural thoracic spine, during her 9th month of pregnancy. Case Description: A 37-year-old female presented with a subacute (2 months) progressive paraparesis during her 9th month of pregnancy. The MR showed a dorsal epidural mass at the D8 level. Following a cesarean section, the patient underwent a laminectomy for tumor excision. Microscopically, the lesion proved to be a SCL. At 5-year follow-up, there was no tumor recurrence. Conclusion: SCL represents a variant of benign lipomas that may occur in the dorsal thoracic spine. Gross total excision may be followed by a benign clinical course without recurrence or malignant degeneration. Very atypical SCLs need closer follow-up to avoid the misdiagnosis of liposarcoma.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/9b797ecf-0537-4d81-a99f-daaa9b98d5a2/featured/hero-1781562554507.png","publishDate":"2021-04-14T00:00:00.000Z","doi":"10.25259/SNI_128_2021","categories":["Spine","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2021/04/10710/SNI-12-162.pdf"}