Arain Abdulrehman, Hornicek Francis John, Schwab Joseph H, Chebib Ivan, Damron Timothy A
Departments of Orthopedic Surgery and Pathology, SUNY Upstate Medical University Syracuse, Upstate Bone and Joint Center, Suite 100, 6620 Fly Road East Syracuse, New York, NY, 13057, USA.
Departments of Orthopedic Surgery, Pathology, and Radiology Massachusetts General Hospital, Boston, MA, USA.
Skeletal Radiol. 2017 Dec;46(12):1745-1752. doi: 10.1007/s00256-017-2727-1. Epub 2017 Aug 3.
This case reports a 25-year-old woman initially diagnosed with adjacent benign notochordal cell tumors (BNCTs) of L3 and L4 based on needle biopsy of L3 and stable imaging over a 3-year period who was ultimately found to have a chordoma arising from a BNCT at L3. It illustrates the potential relationship between benign and malignant notochordal tumors and the difficulty in distinguishing them by clinical, radiological, and even histopathological means.
该病例报告了一名25岁女性,最初根据L3穿刺活检及3年期间稳定的影像学表现诊断为L3和L4相邻良性脊索细胞瘤(BNCTs),最终发现L3处由BNCT发展而来的脊索瘤。它说明了良性与恶性脊索瘤之间的潜在关系,以及通过临床、放射学甚至组织病理学方法区分它们的困难。