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Journal of Spine & NeurosurgeryISSN: 2325-9701

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Case Report, J Spine Neurosurg S Vol: 0 Issue: 0

Combined Treatment Approach for Rare Occipito- Cervical Spinal Lesions: Leiomyosarcoma

Douglas Nestorovski BS1, Andrew H Milby2, Pallavi Gopal3, Lachlan J Smith4, Harvey E Smith2 and Neil R Malhotra4*
1Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA
2Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA
3Department of Pathology and Laboratory Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA
4Department of Neurosurgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA
*Corresponding author: Neil R. Malhotra, MD
Assistant Professor, Department of Neurosurgery, Hospital of the University of Pennsylvania, 3400 Spruce Street, 3 Silverstein Pavilion, Philadelphia, PA 19104, USA
Tel: 215-615-5454; Fax: 215-349-5534
E-mail : [email protected]
Received: June 19, 2013 Accepted: July 18, 2013 Published: July 22, 2013
Citation: Douglas Nestorovski BS1, Milby AH, Gopal P, Smith LJ, Smith HE, et al. (2013) Combined Treatment Approach for Rare Occipito-Cervical Spinal Lesions: Leiomyosarcoma. J Spine Neurosurg S1. doi:10.4172/2325-9701.S1-003

Abstract

Combined Treatment Approach for Rare Occipito-Cervical Spinal Lesions:Leiomyosarcoma

Leiomyosarcoma, a rare malignant tumor arising from smooth muscle, has rarely been reported to occur in association with spinal involvement. The treatment approach depends on tumor characteristics, staging, and presenting symptoms, and may include surgery with or without adjuvant radiation and chemotherapy. We present a case of primary leiomyosarcoma at the craniocervical junction in a 65 year old female treated by suboccipital craniectomy for tumor debulking followed by proton radiotherapy.

Keywords: Leiomyosarcoma; Tumor; Craniocervical; Radiation; Proton

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