Imaging Presentation Highly Manifested as Tuberculosis in Spinal Hemangioendothelioma: A Case Report

Imaging Presentation Highly Manifested as Tuberculosis in Spinal Hemangioendothelioma: A Case Report

Review Data

Q: Is the topic relevant to the journal's area of interest? Is it contemporary and interesting for

researchers?

A: Good

 

Abstract & Keywords

Q: Are all required components included in the abstract? Are the keywords appropriately chosen?

A: Very Good

 

Goal

Q: Is the goal explicitly stated in the Introduction? Is its formulation clear and unambiguous?

A: Good

 

Structure

Q: Is the paper's structure coherent? Is it in coherence with the goal of the paper?

A: Good

 

Tools and Methods

Q: Are the methods the author uses adequate and well used?

A: Good

 

Discussion & Conclusion

Q: Is it related to the results presented before? Do you consider them as coherent?

A: Good

 

Comments: The Discussion establishes that since tuberculosis is more prevalent in China, surgeons are more inclined to make a diagnosis of spinal tuberculosis rather than vascular tumors, as noted in the case described in this study. It states that since the imaging showed typical features of tuberculosis, the case was initially diagnosed as tuberculous spondylitis until it was confirmed to be hemangioendothelioma by histopathological examination. The Discussion highlights that a clinician must understand the advantages and disadvantages of different imaging modalities. Thus, it is necessary to perform some appropriate examinations to establish an accurate diagnosis before any treatment. The study concludes that a definitive diagnosis of spinal hemangioendothelioma or tuberculosis should not be based on imaging alone.

 

Literature

Q: Does the author utilize relevant literature?

A: Good

 

Author's knowledge

Q: What is the level of the author’s knowledge? Does the author utilize all recent contributions relevant to the topic?

A: Good

 

Length

Q: Is the length of the paper adequate to the significance of the topic? Do you suggest shortening the paper without losing its value?

A: Good

 

Figures & Tables

Q: Does the author use them suitably? Are legend and notations clear?

A: Good

 

Writing style

Q: Is it clear and understandable?

A: Good

 

Comments: Except the following error was detected:

 

1.     The 7th sentence under Abstract was not framed properly and should be changed to “However, pathological examination of the excised specimen resulted in the diagnosis of spinal hemangioendothelioma.”

 

Further comments on the paper

Comments: The case report presents the case of spinal metastasis tumors in a 59-year-old man with a 1-year history of chest and back pain. The imaging presentation was so similar to tuberculosis that an initial misdiagnosis was made. Both computed tomography and magnetic resonance imaging of the thoracic spine supported the initial diagnosis of spinal tuberculosis. However, pathological examination of the excised specimen proved the error in diagnosis and the case was confirmed to be spinal hemangioendothelioma. The study suggests that a definitive diagnosis of spinal hemangioendothelioma or tuberculosis should not be based on imaging alone. The study concludes that greater attention should be paid to atypical imaging presentations and pathological examination is usually necessary for the final diagnosis.

 

Q: Would you recommend this manuscript for further publication?

A: Yes - Suitable to be published

If you have any questions and clarifications you can write to the journal.

Thanks,
Science Repository Team

 
 

Author Info

Corresponding Author
Xue-dong Li
Department of Orthopedics, The Third Affiliated Hospital (The Affiliated Luohu Hospital) of Shenzhen University, Shenzhen, China

Article Info

Article Type
Case Report
Publication history
Received: Tue 15, Mar 2022
Accepted: Mon 04, Apr 2022
Published: Mon 18, Apr 2022
Copyright
© 2023 Xue-dong Li. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.JSO.2022.01.02