Sayhan Salih, Altinel Deniz, Erguden Cenk, Kizmazoglu Ceren, Guray Merih, Acar Umit
Dokuz Eylul University, Faculty of Medicine, Department of Neurosurgery, and Izmir Tepecik Training Hospital, Department of Pathology, Izmir, Turkey.
Turk Neurosurg. 2010 Jul;20(3):409-12. doi: 10.5137/1019-5149.JTN.1625-08.2.
We present a case of a 47-year-old-woman with a complaint of cervical pain with paresthetic appearance on her left arm. She was treated with analgetics. Further radiological evaluation because of the persistent pain revealed an osteolytic destruction of the fourth cervical vertebra. The patient underwent anterior cervical corpectomy with total excision of the tumor. Stabilization of the cervical spine was performed. Histology confirmed the diagnosis of Langerhans cell histiocytosis (LCH) of the cervical spine. This case report presents the histopathological evaluation, diagnostic work-up and the treatment procedures because of rarity of cervical spinal LCH cases in the literature.
我们报告一例47岁女性,主诉颈部疼痛并伴有左臂感觉异常。她接受了镇痛药治疗。由于疼痛持续,进一步的影像学评估显示第四颈椎有溶骨性破坏。患者接受了颈椎前路椎体次全切除并肿瘤全切术。同时进行了颈椎稳定手术。组织学检查确诊为颈椎朗格汉斯细胞组织细胞增多症(LCH)。由于文献中颈椎LCH病例罕见,本病例报告介绍了其组织病理学评估、诊断检查及治疗过程。