Thatikunta Meena, Nuru Mohammed, Mathew Ashley E, Altstadt Thomas J
Neurosurgery, University of Louisville Hospital, Louisville, USA.
Neurosurgery, University of Louisville School of Medicine, Louisville, USA.
Cureus. 2020 Dec 23;12(12):e12232. doi: 10.7759/cureus.12232.
Tenosynovial giant cell tumor (TGCT) is a rare entity that is not well described in the neurosurgical literature. We present a case of a 37-year-old woman with a diffuse subtype TGCT of the cervical spine, affecting the left cervical 6-7 facet joint, with co-incidental cervical trauma. Initial management consisted of subtotal resection and cervical stabilization with cervical 6 to 7 laminectomy, and cervical 4 to thoracic 2 posterior instrumented fusion. Gross total resection was achieved at a later date with a plan for postoperative radiation to prevent a recurrence. The patient was lost to follow-up for radiation treatment and returned 2.5 years later with minor symptoms and recurrence at the surgical site.
腱鞘巨细胞瘤（TGCT）是一种罕见的疾病，神经外科文献中对此描述不多。我们报告一例37岁女性，患有颈椎弥漫性亚型TGCT，累及左侧颈6 - 7小关节，并伴有颈椎外伤。初始治疗包括次全切除和通过颈6至7椎板切除术进行颈椎稳定，以及颈4至胸2后路器械辅助融合术。后期实现了肿瘤全切，并计划进行术后放疗以预防复发。患者失访放疗治疗，2.5年后因轻微症状和手术部位复发返回。
