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一名成年人的胸椎朗格汉斯细胞组织细胞增多症

Langerhans Cell Histiocytosis of the Thoracic Spine in an Adult.

作者信息

Kim Myeong Cheol, Sung Sun Hee, Cho Yongjae

机构信息

Department of Neurosurgery, Ewha Womans University College of Medicine, Seoul, Korea.

Department of Pathology, Ewha Womans University College of Medicine, Seoul, Korea.

出版信息

Korean J Spine. 2017 Sep;14(3):109-111. doi: 10.14245/kjs.2017.14.3.109. Epub 2017 Sep 30.

DOI:10.14245/kjs.2017.14.3.109
PMID:29017309
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5642100/
Abstract

We report a case of a 45-year-old man with a complaint of both leg weakness and hypoesthesia. Radiological evaluation revealed an osteolytic lesion of the ninth thoracic vertebra. The patient underwent posterior corpectomy with total excision of the tumor, mesh cage insertion with posterior screw fixation and subsequent radiotherapy. Histology confirmed the diagnosis of Langerhans cell histiocytosis (LCH). This case report presents the diagnostic work-up, histopathological evaluation, and the treatment procedures of rare LCH in the thoracic spine.

摘要

我们报告一例45岁男性患者，主诉双腿无力和感觉减退。影像学评估显示第九胸椎有溶骨性病变。患者接受了后路椎体切除术，完整切除肿瘤，置入椎间融合器并行后路螺钉固定，随后进行放疗。组织学检查确诊为朗格汉斯细胞组织细胞增多症（LCH）。本病例报告介绍了胸椎罕见LCH的诊断检查、组织病理学评估及治疗过程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/664d/5642100/10d7ecd1a9cd/kjs-14-3-109f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/664d/5642100/1351aad50122/kjs-14-3-109f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/664d/5642100/69e7e10aa69a/kjs-14-3-109f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/664d/5642100/3ae18fd7ee73/kjs-14-3-109f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/664d/5642100/b3ad8ba998e1/kjs-14-3-109f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/664d/5642100/10d7ecd1a9cd/kjs-14-3-109f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/664d/5642100/1351aad50122/kjs-14-3-109f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/664d/5642100/69e7e10aa69a/kjs-14-3-109f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/664d/5642100/3ae18fd7ee73/kjs-14-3-109f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/664d/5642100/b3ad8ba998e1/kjs-14-3-109f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/664d/5642100/10d7ecd1a9cd/kjs-14-3-109f5.jpg

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