Glomus tumor of uncertain malignant potential within the cervical spine: a case report

The case report details the first glomus tumor (GT) of uncertain malignant potential within the cervical spine. The patient had been experiencing neck pain and numbness of the left side of her body for 3 months. Magnetic resonance imaging (MRI) revealed a lesion with the dimensions 22 mm × 11 mm in the left side of the intervertebral foramen and epidural of C1-5. When the patient appeared aggravating symptoms, we performed an emergency surgery to relieve the spinal cord compression resulting from the growing tumor. During the surgery, a grey-brown friable tumor was observed, and the tumor was located both outside and inside of the cervical spine. Morphological and immunohistochemical (IHC) analysis showed that the lesion was a globular tumor with uncertain malignant potential. After the surgery, the patient received adjuvant radiotherapy consisting of 58.9 Gy in 23 fractions postoperatively. The MRI at 4 months after the surgery showed a progression of the tumor, at which point the patient ceased treatment. GT of uncertain malignant potential within the cervical spine lacks specific clinical manifestations and reliable non-invasive means of examination, so its diagnosis depends on pathological biopsy and IHC examination. Surgical excision is the first treatment to relieve the symptoms of nerve compression. Further research of postoperative radiotherapy and chemotherapy is required to improve treatment options.