Department of General Surgery, Borders General Hospital, Melrose, UK.
Department of Spinal Surgery, Great Ormond Street Hospital, London, UK.
Br J Hosp Med (Lond). 2020 May 2;81(5):1-6. doi: 10.12968/hmed.2020.0026. Epub 2020 May 4.
Neoplasm of the spinal column in children is rare, but can involve either benign or malignant tumours. Early detection of malignant tumours is key to successful clinical outcome and long-term prognosis. In such cases, back pain is a common presenting symptom, but often has a non-neoplastic cause. Therefore, it is important for GPs and trainees who encounter paediatric patients to be aware of the clinical entity to be able to thoroughly assess them in clinical practice. This article discusses the types of paediatric spinal neoplasms, anatomical-based classification, clinical red flags, imaging modalities and outlines brief management options.
儿童脊柱肿瘤较为罕见，但可能包含良性或恶性肿瘤。早期发现恶性肿瘤对于获得良好的临床结局和长期预后至关重要。在这种情况下，背痛是常见的首发症状，但通常由非肿瘤性原因引起。因此，对于遇到儿科患者的全科医生和住院医师来说，了解该临床实体以便能够在临床实践中对其进行全面评估非常重要。本文讨论了儿童脊柱肿瘤的类型、基于解剖的分类、临床警示征象、影像学检查方法，并概述了简要的治疗选择。
