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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.

DOI:10.1186/s12957-019-1625-5
PMID:31078142
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6511659/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ad8/6511659/c9dd4cc023ad/12957_2019_1625_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ad8/6511659/980177866b0c/12957_2019_1625_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ad8/6511659/b77d98316c42/12957_2019_1625_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ad8/6511659/bd32160027f8/12957_2019_1625_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ad8/6511659/0fa4fcc9bafc/12957_2019_1625_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ad8/6511659/029629fd9846/12957_2019_1625_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ad8/6511659/c9dd4cc023ad/12957_2019_1625_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ad8/6511659/980177866b0c/12957_2019_1625_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ad8/6511659/b77d98316c42/12957_2019_1625_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ad8/6511659/bd32160027f8/12957_2019_1625_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ad8/6511659/0fa4fcc9bafc/12957_2019_1625_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ad8/6511659/029629fd9846/12957_2019_1625_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ad8/6511659/c9dd4cc023ad/12957_2019_1625_Fig6_HTML.jpg

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