颈椎巨细胞瘤：病例报告。
Cervical spine giant cell bone tumor: a case report.
机构信息
Department of Neurosurgery, Yeni Yüzyıl University Medical Faculty, Merkez Mahallesi,Çukurçeşme Caddesi No:51, Gaziosmanpaşa, İstanbul, Turkey.
Department of Pathology, Yeni Yüzyıl University Medical Faculty, Merkez Mahallesi, Çukurçeşme Caddesi No:51, Gaziosmanpaşa, İstanbul, Turkey.
出版信息
World J Surg Oncol. 2019 May 11;17(1):82. doi: 10.1186/s12957-019-1625-5.
BACKGROUND
Giant cell tumors (GCTs) of the bone are locally aggressive primary bone tumors with a benign character. Spinal involvement is rare and they are quite rare in the cervical spine.
CASE PRESENTATION
A 31-year-old male patient presented with neck pain. Cervical CT revealed a lytic lesion extending posteriorly and causing the collapse of the C4 vertebra corpus. The patient underwent excision of the tumor extending from the anterior to the posterior with a single-stage anterior intervention followed by the placement of an anterior cage and plate-screw system for fusion. The pathology was reported as GCT.
CONCLUSIONS
The posteriorly located lesion was widely curetted through an anterior approach in a single session.
背景
骨巨细胞瘤（GCT）是一种局部侵袭性原发性骨肿瘤，具有良性特征。脊柱受累罕见，颈椎更为罕见。
病例介绍
一名 31 岁男性患者出现颈部疼痛。颈椎 CT 显示一处溶骨性病变向后延伸，并导致 C4 椎体前部崩解。患者接受了肿瘤切除术，从前到后进行了单阶段的前路干预，然后在前部放置了一个笼和钢板螺钉系统进行融合。病理报告为 GCT。
结论
通过前路在单次手术中广泛刮除位于后方的病变。
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