Lumbosacral Paraspinal Intramuscular Myxoma: Case Report and a Brief Literature Review

Myxoma is a tumor of mesenchymal origin with a slow-growing behavior and an unknown etiology, occurring in a variety of locations. It mostly affects the heart's chambers, but large skeletal muscles may also harbor these neoplasms (i.e., intramuscular myxoma [IM]) at a lower frequency. Lumbosacr...

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Main Authors: José Calasans dos Santos, Bruno Fernandes de Oliveira Santos, Rômulo Augusto Andrade de Almeida, Andrei Fernandes Joaquim
Format: Article
Language:English
Published: Thieme Revinter Publicações Ltda. 2025-03-01
Series:Brazilian Neurosurgery
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Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0045-1805013
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author José Calasans dos Santos
Bruno Fernandes de Oliveira Santos
Rômulo Augusto Andrade de Almeida
Andrei Fernandes Joaquim
author_facet José Calasans dos Santos
Bruno Fernandes de Oliveira Santos
Rômulo Augusto Andrade de Almeida
Andrei Fernandes Joaquim
author_sort José Calasans dos Santos
collection DOAJ
description Myxoma is a tumor of mesenchymal origin with a slow-growing behavior and an unknown etiology, occurring in a variety of locations. It mostly affects the heart's chambers, but large skeletal muscles may also harbor these neoplasms (i.e., intramuscular myxoma [IM]) at a lower frequency. Lumbosacral paraspinal IM is very rare, and only five cases have been reported worldwide, with none in the Brazilian population. We present the first Brazilian case: a 38-year-old woman complaining of increased volume and pain in the right lumbosacral region in the last two months without radiculopathy and without focal neurological deficits. Imaging showed a large paraspinal lumbosacral tumor from the second lumbar vertebra to the second sacral segment. This was completely removed by a posterior approach. Histopathological revealed an intramuscular myxoma. Surveillance imaging for four months after surgery revealed no recurrence and the patient was doing well. Literature on the topic was reviewed.
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publisher Thieme Revinter Publicações Ltda.
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series Brazilian Neurosurgery
spelling doaj-art-2c70376ef543477a8c3687dcc8a8c9ad2025-08-20T02:54:18ZengThieme Revinter Publicações Ltda.Brazilian Neurosurgery0103-53552359-59222025-03-014401e42e4610.1055/s-0045-1805013Lumbosacral Paraspinal Intramuscular Myxoma: Case Report and a Brief Literature ReviewJosé Calasans dos Santos0Bruno Fernandes de Oliveira Santos1https://orcid.org/0000-0003-0101-2815Rômulo Augusto Andrade de Almeida2https://orcid.org/0000-0001-6342-9152Andrei Fernandes Joaquim3https://orcid.org/0000-0003-2645-0483Department of Neurosurgery, Hospital Unimed Sergipe, Aracajú, SE, Brazil.Departament of Medicine, Universidade Tiradentes, Aracajú, SE, BrazilDepartment of Neurosurgery, MD Anderson Cancer Center, Houston, Texas, United StatesDepartment of Neurosurgery, University of Campinas (UNICAMP) Campinas, SP, BrazilMyxoma is a tumor of mesenchymal origin with a slow-growing behavior and an unknown etiology, occurring in a variety of locations. It mostly affects the heart's chambers, but large skeletal muscles may also harbor these neoplasms (i.e., intramuscular myxoma [IM]) at a lower frequency. Lumbosacral paraspinal IM is very rare, and only five cases have been reported worldwide, with none in the Brazilian population. We present the first Brazilian case: a 38-year-old woman complaining of increased volume and pain in the right lumbosacral region in the last two months without radiculopathy and without focal neurological deficits. Imaging showed a large paraspinal lumbosacral tumor from the second lumbar vertebra to the second sacral segment. This was completely removed by a posterior approach. Histopathological revealed an intramuscular myxoma. Surveillance imaging for four months after surgery revealed no recurrence and the patient was doing well. Literature on the topic was reviewed.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0045-1805013myxomaspineintramuscularreportmixomacoluna vertebralintramuscularrelato
spellingShingle José Calasans dos Santos
Bruno Fernandes de Oliveira Santos
Rômulo Augusto Andrade de Almeida
Andrei Fernandes Joaquim
Lumbosacral Paraspinal Intramuscular Myxoma: Case Report and a Brief Literature Review
Brazilian Neurosurgery
myxoma
spine
intramuscular
report
mixoma
coluna vertebral
intramuscular
relato
title Lumbosacral Paraspinal Intramuscular Myxoma: Case Report and a Brief Literature Review
title_full Lumbosacral Paraspinal Intramuscular Myxoma: Case Report and a Brief Literature Review
title_fullStr Lumbosacral Paraspinal Intramuscular Myxoma: Case Report and a Brief Literature Review
title_full_unstemmed Lumbosacral Paraspinal Intramuscular Myxoma: Case Report and a Brief Literature Review
title_short Lumbosacral Paraspinal Intramuscular Myxoma: Case Report and a Brief Literature Review
title_sort lumbosacral paraspinal intramuscular myxoma case report and a brief literature review
topic myxoma
spine
intramuscular
report
mixoma
coluna vertebral
intramuscular
relato
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0045-1805013
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