Presentation
Back pain.
Patient Data
Age: 48
Gender: Female
From the case:
Spinal meningioma
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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).