Dhatt Sarvdeep, Dhillon Mandeep S, Tripathy Sujit K, Goyal Tarun, Jagadeesh V
Department of Orthopedics, Postgraduate Institute of Medical Education and Research, Sector 12, Chandigarh - 160 012, India.
Indian J Orthop. 2010 Jul;44(3):339-41. doi: 10.4103/0019-5413.65153.
A 24-year-old male patient presented with cauda equina lesion symptoms. His clinicoradiological examination including X-rays, CT scan and MRI revealed destruction of L(5) vertebral body, pedicle and a mass extending to lateral recess and left intervertebral foramina causing pressure over the thecal sac. A CT guided FNAC was inconclusive. Open biopsy and hemilaminectomy of L(5) vertebra was performed. Histopathology and immunocytochemical analysis revealed it to be primitive neuroectodermal tumor. Patient was given chemotherapy and radiation therapy. His lower limb power improved by grade I post operatively and at 2 years follow-up bowel/bladder recovery was noticed. Patient died after 2.5 years of surgery because of pulmonary metastasis.
一名24岁男性患者出现马尾神经损伤症状。其临床放射学检查包括X线、CT扫描和MRI，显示L5椎体、椎弓根破坏，有一肿块延伸至侧隐窝和左侧椎间孔，对硬膜囊造成压迫。CT引导下细针穿刺抽吸活检结果不明确。遂行L5椎体开放活检及半椎板切除术。组织病理学和免疫细胞化学分析显示为原始神经外胚层肿瘤。患者接受了化疗和放疗。术后其下肢肌力提高了一级，在2年随访时发现肠道/膀胱功能有所恢复。患者在手术后2.5年因肺转移死亡。
