Solitary Osteochondroma Presenting as a Dumbbell Tumor Compressing the Cervical Spinal Cord
Korean Journal of Spine
; : 99-102, 2017.
Artigo
em Inglês
| WPRIM (Pacífico Ocidental)
| ID: wpr-187207
Biblioteca responsável:
WPRO
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:
Disponível
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Braço
/
Recidiva
/
Medula Espinal
/
Compressão da Medula Espinal
/
Coluna Vertebral
/
Imageamento por Ressonância Magnética
/
Angiografia
/
Osteocondroma
/
Cervicalgia
/
Citocromo P-450 CYP1A1
Tipo de estudo:
Estudo diagnóstico
Limite:
Adolescente
/
Feminino
/
Humanos
Idioma:
Inglês
Revista:
Korean Journal of Spine
Ano de publicação:
2017
Tipo de documento:
Artigo