{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T13:31:09Z","timestamp":1785331869308,"version":"3.55.0"},"reference-count":64,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"24","license":[{"start":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T00:00:00Z","timestamp":1750032000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Cosmet Laser Ther"],"published-print":{"date-parts":[[2025,6,16]]},"abstract":"\n BACKGROUND<\/jats:title>\n Solitary fibrous tumors (SFTs) and schwannomas are two types of spinal neoplasms that pose significant challenges in differentiation when utilizing the preferred diagnostic modality for suspected spinal lesions, MRI. While schwannomas are generally subject to observation, particularly when presenting with asymptomatic or oligosymptomatic manifestation. SFTs require more immediate therapeutic intervention, due to their potentially aggressive characteristics and associated risk of patient harm if they are not thoroughly resected and addressed early.<\/jats:p>\n <\/jats:sec>\n \n OBSERVATIONS<\/jats:title>\n A 79-year-old patient was referred to the authors\u2019 clinic after receiving a diagnosis of schwannoma of the cauda equina 3 years earlier. Because of the oligosymptomatic presentation, the attending physician then implemented a watch-and-wait approach. A gross-total resection (GTR) was undertaken following progressive enlargement observed on successive MR images. The definitive pathological diagnosis revealed a grade 1 SFT.<\/jats:p>\n <\/jats:sec>\n \n LESSONS<\/jats:title>\n Spinal SFT should be regarded as a potentially aggressive neoplasm characterized by an invasive propensity toward adjacent structures as well as distal metastases. The adoption of conservative management for ambiguous lesions may increase the risk of an adverse outcome. Therefore, in the context of uncertain spinal lesions with inconclusive MRI findings, it may be advisable to proceed with GTR in conjunction with confirmation of the definitive pathological diagnosis.<\/jats:p>\n \n https:\/\/thejns.org\/doi\/10.3171\/CASE2585<\/jats:ext-link>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.3171\/case2585","type":"journal-article","created":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T20:02:10Z","timestamp":1750104130000},"source":"Crossref","is-referenced-by-count":2,"title":["A schwannoma look-alike: solitary fibrous tumor of the cauda equina. Illustrative case"],"prefix":"10.3171","volume":"9","author":[{"given":"Marc","family":"Fischer","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Klinik Hirslanden Aarau\/Z\u00fcrich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kim","family":"Harnisch","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Klinik Hirslanden Aarau\/Z\u00fcrich, Switzerland"},{"name":"Department of Pathology and Molecular Pathology, University Hospital Zurich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisabeth","family":"Rushing","sequence":"additional","affiliation":[{"name":"Institute for Neuropathology Medica, Z\u00fcrich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Javier","family":"Fandino","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Klinik Hirslanden Aarau\/Z\u00fcrich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Attill","family":"Saemann","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Klinik Hirslanden Aarau\/Z\u00fcrich, Switzerland"},{"name":"Department of Neurosurgery, University Hospital of Basel, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"3","key":"bib1","series-title":"Curr Neurol Neurosci Rep","first-page":"320","article-title":"Adult primary intradural spinal cord tumors: a review","volume":"11","author":"Chamberlain","year":"2011","unstructured":"Chamberlain MCTredway TL.Adult primary intradural spinal cord tumors: a review. 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Indian J Neurosurg. 2024;13:259-261."},{"issue":"2","key":"bib4","series-title":"Gal Clin","first-page":"117","article-title":"Schwannoma\u2014un caso atipico de dolor pleuritico","volume":"82","author":"Monteiro Santos","year":"2021","unstructured":"Monteiro Santos MElias T.Schwannoma\u2014un caso atipico de dolor pleuritico. Gal Clin. 2021;82(2):117."},{"issue":"1","key":"bib5","series-title":"Spinal Cord Ser Cases","first-page":"99","article-title":"Intramedullary schwannoma of conus medullaris: rare site for a common tumor with review of literature","volume":"4","author":"Singh","year":"2018","unstructured":"Singh RChaturvedi SPant ISingh GKumari R.Intramedullary schwannoma of conus medullaris: rare site for a common tumor with review of literature. 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Acta Neurochir. 2024;166(1):320."},{"issue":"5","key":"bib7","series-title":"Adv Anat Pathol","first-page":"356","article-title":"Solitary fibrous tumor of the central nervous system: a 15-year literature survey of 220 cases (August 1996-July 2011)","volume":"18","author":"Bisceglia","year":"2011","unstructured":"Bisceglia MGalliani CGiannatempo GSolitary fibrous tumor of the central nervous system: a 15-year literature survey of 220 cases (August 1996-July 2011). Adv Anat Pathol. 2011;18(5):356-392."},{"key":"bib8","series-title":"Neurol Res Int","first-page":"3568359","article-title":"Spinal nerves schwannomas: experience on 367 cases\u2014historic overview on how clinical, radiological, and surgical practices have changed over a course of 60 years","volume":"2017","author":"Lenzi","year":"2017","unstructured":"Lenzi JAnichini GLandi ASpinal nerves schwannomas: experience on 367 cases\u2014historic overview on how clinical, radiological, and surgical practices have changed over a course of 60 years. Neurol Res Int. 2017;2017:3568359."},{"issue":"1","key":"bib9","series-title":"Asian J Neurosurg","first-page":"131","article-title":"Totally cystic intradural schwannoma in thoracic region","volume":"12","author":"Kumar","year":"2017","unstructured":"Kumar SGupta RHanda ASinha R.Totally cystic intradural schwannoma in thoracic region. 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Laryngoscope. 2012;122(8):1748-1755."},{"issue":"4","key":"bib26","series-title":"Head Neck Pathol","first-page":"597","article-title":"Thyroid gland solitary fibrous tumor: report of 3 cases and a comprehensive review of the literature","volume":"13","author":"Thompson","year":"2019","unstructured":"Thompson LDRWei CRooper LMLau SK.Thyroid gland solitary fibrous tumor: report of 3 cases and a comprehensive review of the literature. Head Neck Pathol. 2019;13(4):597-605."},{"issue":"4","key":"bib27","series-title":"Ochsner J","first-page":"356","article-title":"Solitary fibrous tumor of the umbilical region in a pediatric patient","volume":"22","author":"Vaswani","year":"2022","unstructured":"Vaswani SKhera SSinha A.Solitary fibrous tumor of the umbilical region in a pediatric patient. Ochsner J. 2022;22(4):356-360."},{"issue":"7","key":"bib28","series-title":"J Craniofac Surg","first-page":"e688","article-title":"Intracranial solitary fibrous tumor mimicking meningioma","volume":"34","author":"Tao","year":"2023","unstructured":"Tao XYan XZhang YQin S.Intracranial solitary fibrous tumor mimicking meningioma. J Craniofac Surg. 2023;34(7):e688-e690."},{"issue":"3","key":"bib29","series-title":"Neurosurgery","first-page":"443","article-title":"Diagnostic pathology of tumors of peripheral nerve","volume":"88","author":"Belakhoua","year":"2021","unstructured":"Belakhoua SMRodriguez FJ.Diagnostic pathology of tumors of peripheral nerve. Neurosurgery. 2021;88(3):443-456."},{"issue":"2","key":"bib30","series-title":"Lung India","first-page":"179","article-title":"Giant solitary fibrous tumor pleura: clinical dilemma and diagnosis","volume":"29","author":"Kaur","year":"2012","unstructured":"Kaur AGill SSSingh JSingh AMani NS.Giant solitary fibrous tumor pleura: clinical dilemma and diagnosis. Lung India. 2012;29(2):179-181."},{"issue":"12","key":"bib31","series-title":"Cureus","first-page":"e32607","article-title":"Primary intracranial solitary fibrous tumor with metachronous pulmonary and bone metastasis: a case report","volume":"14","author":"Alabssi","year":"2022","unstructured":"Alabssi HAlismail MTaha MSAbdulkader MMBukhari N.Primary intracranial solitary fibrous tumor with metachronous pulmonary and bone metastasis: a case report. 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Acta Neurochir. 2024;166(1):320."},{"issue":"5","key":"bib7","series-title":"Adv Anat Pathol","first-page":"356","article-title":"Solitary fibrous tumor of the central nervous system: a 15-year literature survey of 220 cases (August 1996-July 2011)","volume":"18","author":"Bisceglia","year":"2011","unstructured":"Bisceglia MGalliani CGiannatempo GSolitary fibrous tumor of the central nervous system: a 15-year literature survey of 220 cases (August 1996-July 2011). Adv Anat Pathol. 2011;18(5):356-392."},{"key":"bib8","series-title":"Neurol Res Int","first-page":"3568359","article-title":"Spinal nerves schwannomas: experience on 367 cases\u2014historic overview on how clinical, radiological, and surgical practices have changed over a course of 60 years","volume":"2017","author":"Lenzi","year":"2017","unstructured":"Lenzi JAnichini GLandi ASpinal nerves schwannomas: experience on 367 cases\u2014historic overview on how clinical, radiological, and surgical practices have changed over a course of 60 years. Neurol Res Int. 2017;2017:3568359."},{"issue":"1","key":"bib9","series-title":"Asian J Neurosurg","first-page":"131","article-title":"Totally cystic intradural schwannoma in thoracic region","volume":"12","author":"Kumar","year":"2017","unstructured":"Kumar SGupta RHanda ASinha R.Totally cystic intradural schwannoma in thoracic region. Asian J Neurosurg. 2017;12(1):131-133."},{"issue":"5","key":"bib10","series-title":"Acta Neuropathol","first-page":"651","article-title":"Meningeal hemangiopericytoma and solitary fibrous tumors carry the NAB2-STAT6 fusion and can be diagnosed by nuclear expression of STAT6 protein","volume":"125","author":"Schweizer","year":"2013","unstructured":"Schweizer LKoelsche CSahm FMeningeal hemangiopericytoma and solitary fibrous tumors carry the NAB2-STAT6 fusion and can be diagnosed by nuclear expression of STAT6 protein. Acta Neuropathol. 2013;125(5):651-658."},{"issue":"1","key":"bib11","series-title":"J Orthop Surg Res","first-page":"358","article-title":"Posterior paramedian approach combined with a novel inverted V-shaped surgical access for intraspinal schwannomas: a retrospective case series study","volume":"18","author":"Zhai","year":"2023","unstructured":"Zhai PWu HTong LWang YSun Z.Posterior paramedian approach combined with a novel inverted V-shaped surgical access for intraspinal schwannomas: a retrospective case series study. 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