Hansberry David R, Gupta Raghav, Prabhu Arpan V, Agarwal Nitin, Cox Mougnyan, Joneja Upasana, Curtis Mark T, Harrop James S, Flanders Adam E
Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
New Jersey Medical School, Rutgers University, Newark, NJ, USA.
Clin Imaging. 2017 Sep-Oct;45:18-21. doi: 10.1016/j.clinimag.2017.05.014. Epub 2017 May 29.
Osteochondromas are the most common benign bone tumor typically seen in the appendicular skeleton and are rarely found in the spine. We present a case of an osteochondroma of the spine presenting with spinal cord compression. 27-year-old male presented with lower extremity weakness and paresthesia, decreased lower extremity sensation, and decreased proprioception. MRI showed a heterogeneous mass with minimal peripheral enhancement and without restricted diffusion. CT demonstrated a calcified mass extending from the left facet joint of T11-T12 with medial extension, resulting in severe central canal stenosis and cord compression. The patient underwent surgical resection with pathology demonstrating an osteochondroma.
骨软骨瘤是最常见的良性骨肿瘤，通常见于四肢骨骼，很少发生于脊柱。我们报告一例脊柱骨软骨瘤伴脊髓受压的病例。一名27岁男性出现下肢无力、感觉异常、下肢感觉减退和本体感觉减退。MRI显示一个不均匀肿块，周边强化轻微，无弥散受限。CT显示一个钙化肿块从T11 - T12左侧小关节延伸并向内侧扩展，导致严重的中央管狭窄和脊髓受压。患者接受了手术切除，病理显示为骨软骨瘤。
