Department of Neurosurgery, The National Hospital for Neurology and Neurosurgery, Queen Square, London, UK.
Department of Neuropathology, The National Hospital for Neurology and Neurosurgery, Queen Square, London, UK.
World Neurosurg. 2019 Oct;130:313-316. doi: 10.1016/j.wneu.2019.06.222. Epub 2019 Jul 8.
Intraosseous locations are extremely rare when it comes to schwannomas and account for 0.2% of primary bone tumors. The most common intraosseous locations include the mandible and sacrum, while cervical, thoracic, and lumbar spine lesions are even more uncommon.
We describe a 56-year-old female patient with incidental finding of an intraosseous lytic lesion within the vertebral body of T1. Complete surgical excision was performed with instrumented fusion. Histopathology results confirmed a World Health Organization grade I schwannoma.
Our case is the fourth case of purely intraosseous schwannoma described in the mobile spine in the literature, with good results both clinically and radiologically after complete surgical resection.
神经鞘瘤在骨内的位置极为罕见，占原发性骨肿瘤的 0.2%。最常见的骨内位置包括下颌骨和骶骨，而颈椎、胸椎和腰椎病变则更为罕见。
我们描述了一位 56 岁女性患者，在 T1 椎体的骨内发现一个溶骨性病变，为偶然发现。通过器械融合完成了完全的手术切除。组织病理学结果证实为世界卫生组织一级神经鞘瘤。
我们的病例是文献中第四例移动脊柱中纯粹的骨内神经鞘瘤，在完全手术切除后，临床和影像学结果均良好。
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