Yu Hui,Yang Fubing,Tang Yi,Chen Mingsheng,Liu Liang,Bao Changshun,Wang Bin.Clinical analysis of primary thoracic and lumbar intraspinal tumors misdiagnosed as lumbar intervertebral disc herniation: report of 19 cases[J].J Amry Med Univ (J Third Mil Med Univ),2016,38(02):191-194.
Yu Hui,Yang Fubing,Tang Yi,Chen Mingsheng,Liu Liang,Bao Changshun,Wang Bin.Clinical analysis of primary thoracic and lumbar intraspinal tumors misdiagnosed as lumbar intervertebral disc herniation: report of 19 cases[J].J Amry Med Univ (J Third Mil Med Univ),2016,38(02):191-194.DOI:
Clinical analysis of primary thoracic and lumbar intraspinal tumors misdiagnosed as lumbar intervertebral disc herniation: report of 19 cases
Objective To analyze the misdiagnosis causes of intraspinal tumors misdiagnosed as lumbar intervertebral disc herniation
and reduce the clinical rate of misdiagnosis. Methods Clinical data of 19 patients with intraspinal tumors misdiagnosed as lumbar intervertebral disc herniation were retrospectively analyzed
and the respective characteristics
essentials for diagnosis and differential diagnosis of the 2 kinds of diseases were summarized. The misdiagnosis causes were analyzed
and prevention measures were put forward. Results All the misdiagnosed patients performed MRI scanning
and then received operative treatment. Histological diagnosis results showed that there were 13 cases of schwannomas
3 cases of meningiomas
2 cases of ependymomas
and 1 case of angiomyolipoma. In 1~36 months’ follow-up
pain of all the patients was alleviated. Eighteen patients were healed
and only one patient still had numbness at left hip and left leg. No patient reoccurred or died. Conclusion Though there are similarities in early clinical manifestations between intraspinal tumors and lumbar intervertebral disc herniation
the two kinds of diseases can be identified to avoid misdiagnosis through collecting the detailed history