Ramdasi Raghvendra V, Nadkarni Trimurti D, Goel Naina A
Department of Neurosurgery, King Edward Memorial Hospital, Seth G. S. Medical College, Parel, Mumbai, Maharashtra, India.
Department of Neuropathology, King Edward Memorial Hospital, Seth G. S. Medical College, Parel, Mumbai, Maharashtra, India.
J Craniovertebr Junction Spine. 2014 Apr;5(2):95-8. doi: 10.4103/0974-8237.139209.
A 28-year-old male presented with neck pain and dysesthesias in the right upper limb. On examination, he had a firm, well-defined midline posterior cervical mass discernible on palpation at the mid-cervical level. He had no neurological deficit. Neuroradiology revealed a variegated enhancing cervical mass is arising from C3 lamina. The mass extended into the right extradural space eroding the C3 lamina and posteriorly into the intermuscular plane. The tumor was excised totally. Histopathology of the tumor showed features of hemangiopericytoma (HPC). The patient underwent postoperative radiotherapy. Primary osseous spinal HPC are rare malignant extra-axial tumors that tend to recur and metastasize. Only two cases of primary osseous HPC have been reported earlier to involve the cervical spine. The clinical presentation and management of the present case with a review of the literature is presented.
一名28岁男性因颈部疼痛和右上肢感觉异常就诊。检查时，在颈椎中部水平触诊可发现一个质地坚硬、边界清晰的中线后颈部肿块。他没有神经功能缺损。神经放射学检查显示，一个呈斑驳强化的颈椎肿块起源于C3椎板。肿块延伸至右侧硬膜外间隙，侵蚀C3椎板，并向后延伸至肌间平面。肿瘤被完全切除。肿瘤的组织病理学表现为血管外皮细胞瘤（HPC）的特征。患者接受了术后放疗。原发性脊柱骨HPC是罕见的恶性轴外肿瘤，容易复发和转移。此前仅有两例原发性骨HPC累及颈椎的病例报道。本文介绍了该病例的临床表现及治疗，并对相关文献进行了综述。
