Louraoui Sidi Mamoun, Fliyou Fadwa, Ait Benhamou Rita, El Azhari Abdessamad
Neurosurgical Department, Mohammed VI Hospital, Casablanca, MAR.
Cureus. 2022 Mar 18;14(3):e23303. doi: 10.7759/cureus.23303. eCollection 2022 Mar.
Spinal giant cell tumor (GCT) and aneurysmal bone cyst (ABC) are infrequent neoplasms of bone. Thirty percent of ABCs are secondary to tumors, such as GCT. We report a rare case of a pediatric cervical spine secondary ABC to GCT that had to be multimodally managed through anterior and posterior surgical approach, embolization, and denosumab treatment leading to a stabilization of the remnant. The case shows the importance of therapeutic strategy decision that depends on the patient and the lesion.
脊柱巨细胞瘤(GCT)和骨动脉瘤样骨囊肿(ABC)是罕见的骨肿瘤。30%的ABC继发于肿瘤,如GCT。我们报告了一例罕见的小儿颈椎继发于GCT的ABC病例,该病例必须通过前后路手术、栓塞和地诺单抗治疗进行多模式管理,从而使残余病变稳定。该病例显示了取决于患者和病变的治疗策略决策的重要性。