PMID- 24932270 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240321 IS - 1792-1074 (Print) IS - 1792-1082 (Electronic) IS - 1792-1074 (Linking) VI - 7 IP - 6 DP - 2014 Jun TI - An intraosseous malignant peripheral nerve sheath tumor of the lumbar spine without neurofibromatosis: Case report and review of the literature. PG - 1965-1969 AB - A malignant peripheral nerve sheath tumor (MPNST) is defined as any malignant tumor that develops or differentiates from cells in the peripheral nerve sheath. This tumor is commonly associated with neurofibromatosis type 1 (NF1) and previous radiotherapy treatment. Primary intraosseous MPNSTs are extremely rare and a case of the lumbar spine in a patient without NF1 is reported in the present study, with a review of the intraosseous MPNST literature. A 45-year-old female presented with a 1-month history of severe lower back pain and pain radiating to the left leg. A total en bloc spondylectomy of L4 was performed. The postoperative histopathological diagnosis was MPNST with deletion of NF1, confirmed by dual-color fluorescence in situ hybridization (FISH) analysis. The tumor recurred 1 month following the surgery. Although adjuvant chemotherapy was administered, the patient succumbed due to intramedullary dissemination and carcinomatous meningitis 8 months following the initial consultation. NF1 deletion by FISH analysis may be particularly useful in distinguishing MPNST from other high-grade malignancies with overlapping morphological features. FAU - Suzuki, Kayo AU - Suzuki K AD - Department of Orthopaedic Surgery, Faculty of Medicine, University of Toyama, Toyama City, Toyoma 939-0194, Japan. FAU - Yasuda, Taketoshi AU - Yasuda T AD - Department of Orthopaedic Surgery, Faculty of Medicine, University of Toyama, Toyama City, Toyoma 939-0194, Japan. FAU - Hori, Takeshi AU - Hori T AD - Department of Orthopaedic Surgery, Iiyama Red Cross Hospital, Iiyama City, Nagano 389-2295, Japan. FAU - Watanabe, Kenta AU - Watanabe K AD - Department of Orthopaedic Surgery, Faculty of Medicine, University of Toyama, Toyama City, Toyoma 939-0194, Japan. FAU - Kanamori, Masahiko AU - Kanamori M AD - First Department of Human Science, Faculty of Medicine, University of Toyama, Toyama City, Toyoma 939-0194, Japan. FAU - Kimura, Tomoatsu AU - Kimura T AD - Department of Orthopaedic Surgery, Faculty of Medicine, University of Toyama, Toyama City, Toyoma 939-0194, Japan. LA - eng PT - Journal Article DEP - 20140321 PL - Greece TA - Oncol Lett JT - Oncology letters JID - 101531236 PMC - PMC4049692 OTO - NOTNLM OT - intraosseous malignant peripheral nerve sheath tumor OT - spine OT - total en bloc spondylectomy EDAT- 2014/06/17 06:00 MHDA- 2014/06/17 06:01 PMCR- 2014/03/21 CRDT- 2014/06/17 06:00 PHST- 2013/09/11 00:00 [received] PHST- 2014/03/04 00:00 [accepted] PHST- 2014/06/17 06:00 [entrez] PHST- 2014/06/17 06:00 [pubmed] PHST- 2014/06/17 06:01 [medline] PHST- 2014/03/21 00:00 [pmc-release] AID - ol-07-06-1965 [pii] AID - 10.3892/ol.2014.1987 [doi] PST - ppublish SO - Oncol Lett. 2014 Jun;7(6):1965-1969. doi: 10.3892/ol.2014.1987. Epub 2014 Mar 21.