Pace Jonathan, Lozen Andrew M, Wang Marjorie C, Cochran Elizabeth J
Department of Neurosurgery, Case Western Reserve University, Cleveland, OH, USA.
Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, WI, USA.
J Craniovertebr Junction Spine. 2014 Jul;5(3):131-3. doi: 10.4103/0974-8237.142308.
The identification of a soft tissue chondroma within the spine represents a rarity and is typically not included within the differential diagnosis for patients with sensory complaints of the leg. The authors describe 46-year-old female presenting with 3-week history of decreased sensation and paresthesias of the left leg. Magnetic resonance imaging of the lumbar spine demonstrated an L3 extradural soft tissue mass. She underwent an uncomplicated excision through an L3 laminectomy and exhibited complete resolution of symptoms. Pathologic examination revealed benign cartilaginous tissue; however, the authors recommend long-term follow-up for such lesions as the potential for malignant transformation is unknown.
脊柱内软组织软骨瘤的发现实属罕见,通常不在腿部感觉异常患者的鉴别诊断范围内。作者描述了一名46岁女性,她有3周左腿感觉减退和感觉异常的病史。腰椎磁共振成像显示L3硬膜外软组织肿块。她通过L3椎板切除术顺利切除肿块,症状完全缓解。病理检查显示为良性软骨组织;然而,作者建议对这类病变进行长期随访,因为其恶变的可能性未知。