Joshi Gyanendra, Bhatta Om Prakash, Chand Hemant, Mudbhari Bandana, Dangol Neha, Bhetwal Prashant
Department of Orthopedics, Seti Provincial Hospital, Kailali, Nepal.
Department of Emergency Medicine, Nova Hospital, Kailali, Nepal.
Int J Surg Case Rep. 2023 Sep;110:108729. doi: 10.1016/j.ijscr.2023.108729. Epub 2023 Aug 29.
Osteochondromas, the most common benign tumors of the appendicular skeleton, are uncommonly found in the spine. Although the cervical spine is the most frequent location of spinal osteochondromas, the lower cervical spine is less commonly affected.
We present the case of a 16-year-old female adolescent who presented with a hard palpable mass over the nape of the neck more toward the right side associated with non-radiating pain for 3 years. Radiography and computed tomography (CT) revealed an expansile bone lesion arising from the sixth cervical spinous process (C6). En-bloc resection of the tumor was performed, which alleviated her symptoms. A histopathological examination revealed the presence of an osteochondroma without any features suggestive of malignancy.
Osteochondroma is a common benign bone tumor, mainly found in the appendicular skeleton, with rare occurrences in the spine. It can be solitary or associated with multiple hereditary exostoses (MHE). The cervical spine is the most affected area, and its symptoms vary depending on its location. Diagnosis involves imaging, and surgical excision is recommended for symptomatic cases to prevent neurological compromise, and recurrence, and to confirm the diagnosis by histopathology.
Diagnosing rare conditions such as cervical osteochondroma requires a high level of clinical suspicion and the assistance of imaging techniques in patients exhibiting relevant symptoms. Optimal outcomes were achieved using en bloc resection.
骨软骨瘤是四肢骨骼最常见的良性肿瘤，在脊柱中罕见。虽然颈椎是脊柱骨软骨瘤最常发生的部位，但下颈椎较少受累。
我们报告一例16岁女性青少年病例，该患者颈后部右侧可触及一硬性肿块，伴有非放射性疼痛3年。X线和计算机断层扫描（CT）显示第六颈椎棘突（C6）有一膨胀性骨病变。对肿瘤进行了整块切除，症状得以缓解。组织病理学检查显示为骨软骨瘤，无任何恶性特征。
骨软骨瘤是一种常见的良性骨肿瘤，主要见于四肢骨骼，很少见。它可以是单发的，也可与多发性遗传性骨软骨瘤病（MHE）相关。颈椎是最常受累的部位，其症状因位置而异。诊断需借助影像学检查，对于有症状的病例，建议手术切除以防止神经功能受损、复发，并通过组织病理学确诊。
诊断颈椎骨软骨瘤等罕见疾病需要高度的临床怀疑，并在出现相关症状的患者中借助影像学技术。采用整块切除取得了最佳效果。
