Cetinkal Ahmet, Atabey Cem, Kaya Serdar, Colak Ahmet, Topuz Ali Kivanç
Department of Neurosurgery, GATA Haydarpasa Training Hospital, Usküdar, Istanbul, Turkey.
Eur Spine J. 2009 Jul;18 Suppl 2(Suppl 2):236-9. doi: 10.1007/s00586-009-0922-z. Epub 2009 Mar 3.
Schwannomas are common tumors of the nerve sheath cells. They present as well-circumscribed masses attached to the peripheral nerves, cranial nerves, or spinal nerve roots. Intraosseous localization of these tumors is rare. The presented case is a 55-year-old female patient, the very first case of intraosseous schwannoma of Th12 vertebra without spinal canal involvement. She was admitted with a progressive back pain and seldom pain and numbness in the right leg for 1 year. Preoperative findings on computed tomography and magnetic resonance images of the lesion resembled that of any primary tumor of the bone. The patient was operated on via posterior approach and the tumor was removed totally. Histopathological examinations revealed schwannoma. Our case emphasizes the heterogeneous presentation of the nerve sheath cell tumors in the differential diagnosis of the primary vertebral column tumors.
施万细胞瘤是神经鞘细胞的常见肿瘤。它们表现为附着于周围神经、颅神经或脊神经根的边界清晰的肿块。这些肿瘤的骨内定位很少见。本文报道的病例是一名55岁女性患者,是第12胸椎骨内施万细胞瘤且无椎管受累的首例病例。她因进行性背痛以及右腿偶尔疼痛和麻木入院,病程1年。术前计算机断层扫描和磁共振成像对病变的检查结果类似于任何原发性骨肿瘤。患者通过后路手术,肿瘤被完全切除。组织病理学检查显示为施万细胞瘤。我们的病例强调了神经鞘细胞瘤在原发性脊柱肿瘤鉴别诊断中的异质性表现。