Solitary Osteochondroma Presenting as a Dumbbell Tumor Compressing the Cervical Spinal Cord
Korean Journal of Spine
;
: 99-102, 2017.
Artículo
en Inglés
| WPRIM
| ID: wpr-187207
ABSTRACT
We report a case of a solitary osteochondroma as a dumbbell tumor compressing the spinal cord and its surgical strategy. The patient is a 16-year-old female with longstanding posterior neck pain and left arm abduction weakness. She was examined by plain X-ray, three-dimensional-computed tomography, magnetic resonance imaging, and vertebral angiography. The analyses indicated a calcified extradural mass compressing the cord in the C3–4 portion extending into the neural and vertebral foramen with eroded vertebral body. The tumor was successfully excised using a modified combined anterior and posterior approach. Histopathologic study of the resected material confirmed the diagnosis. The postoperative assessment was followed by clinical and radiologically therapy for 5 years after surgery. Osteochondroma arises from enchondral bone but it rarely involves the spine, especially not as s dumbbell type. In this patient, the tumor may have arisen from the neural arch and extended into the extradural and extraforaminal space over a long period. We successfully removed the dumbbell tumor with a combined anterior oblique and posterior approach. However, further observation is essential because of the possibility of recurrence and sarcomatous change.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Brazo
/
Recurrencia
/
Médula Espinal
/
Compresión de la Médula Espinal
/
Columna Vertebral
/
Imagen por Resonancia Magnética
/
Angiografía
/
Osteocondroma
/
Dolor de Cuello
/
Citocromo P-450 CYP1A1
Tipo de estudio:
Estudio diagnóstico
Límite:
Adolescente
/
Femenino
/
Humanos
Idioma:
Inglés
Revista:
Korean Journal of Spine
Año:
2017
Tipo del documento:
Artículo
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