Mirra J M, Brien E W
Department of Orthopaedic Pathology, Orthopaedic Hospital, 2400 S. Flower Street, Suite 524, Los Angeles, CA 90007, USA.
Skeletal Radiol. 2001 Dec;30(12):698-709. doi: 10.1007/s002560100422. Epub 2001 Oct 16.
Two cases are reported of a newly described intraosseous entity of vertebral bodies deemed "giant notochordal hamartoma of intraosseous origin". This entity is commonly mistaken for chordoma and must be distinguished from it as the consequences of misinterpretation may be serious. The clinical, radiological and histologic criteria that can be used to distinguish these two entities are emphasized. Included is a proposed pathogenesis for this lesion, its probable notochordal origin, and a review of other probable cases.
报告了两例新描述的椎体骨内病变,称为“骨内起源的巨大脊索瘤错构瘤”。这种病变常被误诊为脊索瘤,由于误诊后果可能严重,因此必须将其与之区分开来。文中强调了可用于区分这两种病变的临床、放射学和组织学标准。其中还包括该病变的推测发病机制、可能的脊索起源以及对其他可能病例的综述。