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Vol. 25. Issue 2.
Pages 77-80 (March - April 2014)
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Vol. 25. Issue 2.
Pages 77-80 (March - April 2014)
Caso clínico
Metástasis sacra simulando quiste óseo aneurismático
Sacral metastasis simulating aneurysmal bone cyst
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1609
Pablo Sanromán-Álvarez
Corresponding author
sanroman.alvarez@gmail.com

Autor para correspondencia.
, Juan Antonio Simal-Julián, Pablo Miranda-Lloret, Pedro Pérez-Borredá, Carlos Botella-Asunción
Departamento de Neurocirugía, Hospital Universitario y Politécnico La Fe, Valencia, España
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Tabla 1. Casos publicados de metástasis quísticas raquídeas con niveles serohemáticos líquido-líquido
Resumen

El hallazgo de lesiones raquídeas quísticas con patrones característicos, como la presencia de niveles serohemáticos líquido-líquido (NSL-L), se ha relacionado con multitud de estirpes tumorales, asociándose con mayor frecuencia al quiste óseo aneurismático (QOA) y de forma extraordinaria a metástasis. En este artículo presentamos el caso de un varón de 60años de edad con el hallazgo de una lesión ósea quística sacra y NSL-L, inicialmente orientado hacia el diagnóstico de QOA, con diagnóstico definitivo de metástasis. El caso presentado es, en nuestro conocimiento, el segundo caso publicado de metástasis ósea quística raquídea con NSL-L sin tumor primario conocido en el momento del diagnóstico y el único que recibió tratamiento quirúrgico con fin resectivo, alcanzando control de la enfermedad metastásica y pulmonar con una adecuada calidad de vida tras un año de seguimiento.

Palabras clave:
Niveles serohemáticos
Metástasis ósea
Quiste óseo aneurismático
Imagen en resonancia magnética
Fluoroscopio 3D
Resultado quirúrgico
Abstract

Cystic spinal lesions with characteristic patterns, such as the presence of haematic fluid-fluid levels (H-FFL), have been associated with many tumoral lineages, more frequently with aneurysmal bone cyst (ABC) and exceptionally with metastasis. We present the case of a 60-year-old man with the finding of a sacral cystic bone lesion with H-FFL, with initial suspicion of ABC and confirmed diagnosis of metastasis. The case presented is, to our knowledge, the second case published of spinal cystic bone metastasis with H-FFL pattern with unknown primary tumour at the time of diagnosis and the only one that received resective surgical treatment, achieving pulmonary and metastatic disease control with good quality of life after 1year of follow up.

Keywords:
Fluid-fluid levels
Bone metastasis
Aneurysmal bone cyst
Magnetic resonance imaging
3D fluoroscopy
Surgical outcome

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