E21

SPINAL CORD - Ependymoma

Description
The specimen is an ovoid, smooth-surfaced nodule, brownish in colour, showing no identifying features. The history is of interest: when weight-lifting, the patient experienced a sudden pain in the lower back; this improved with rest and he played rugby, the pain returned, radiating to the back of each leg and later to the calves and ankles; a myelogram showed a complete block with a rounded lower margin at the level of the second lumbar vertebra. At laminectomy this tumour was found, distorting the cauda equina.