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Spinal meningioma

Case contributed by Andrew Lawson
Diagnosis certain

Presentation

Back pain.

Patient Data

Age: 48
Gender: Female
mri

At the L3/4 level there is a homgeneously enhancing, well circumscribed lesion inseperable from the cauda equina roots.

Case Discussion

Pathology report

The sections show a moderately cellular tumor. The tumor forms sheets and nests in a fibrous background. No whorls are seen. The tumor cells have round hyperchromatic nuclei, inconspicuous nucleoli and moderate amounts of clear cytoplasm. There is no nuclear pleomorphism. Mitoses are inconspicuous. There is no necrosis.

DIAGNOSIS: L3/4 spinal tumor: Clear cell meningioma (WHO Grade II).

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