Jeong Dong Mun, Paeng Sung Hwa
Department of Neurosurgery, School of Medicine, Busan Paik Hospital, Inje University, Busan, South Korea.
Asian J Neurosurg. 2015 Oct-Dec;10(4):334-7. doi: 10.4103/1793-5482.162725.
Enchondroma is a type of benign cartilaginous bone tumor. Enchondroma of the spine is very rare. There are only a few cases of enchondromas located in the lamina of the cervical spine have been reported. Therefore, we report a case of enchondroma in the cervical spine. A 24-year-old female patient presented with a history of neck pain, restriction of neck movement, pain and numbness along the right scapula, and weakness accompanied by wasting of the right hand. Presumptive diagnoses included bony tumors such as an aneurysmal bone cyst or a giant cell tumor. Radiologic examinations revealed a round tumor in the right lamina of C4 with extracortical extension and foramen of C4-5. C4 right hemilaminectomy and facetectomy were performed with near complete removal of the tumor. On histological examination, the tumor was confirmed to be an enchondroma. At the 6-month follow-up, a computed tomography scan showed no recurrence with good alignment.
内生软骨瘤是一种良性软骨性骨肿瘤。脊柱内生软骨瘤非常罕见。仅有少数位于颈椎椎板的内生软骨瘤病例报道。因此，我们报告一例颈椎内生软骨瘤病例。一名24岁女性患者，有颈部疼痛、颈部活动受限、沿右肩胛骨疼痛和麻木以及右手无力伴肌肉萎缩的病史。初步诊断包括骨肿瘤，如动脉瘤样骨囊肿或巨细胞瘤。影像学检查显示C4右侧椎板有一个圆形肿瘤，有皮质外扩展及C4 - 5椎间孔受累。行C4右侧半椎板切除术和关节突切除术，肿瘤几乎完全切除。组织学检查证实肿瘤为内生软骨瘤。在6个月的随访中，计算机断层扫描显示无复发，对位良好。
