颈椎脊索瘤合并良性脊索细胞肿瘤。脊索瘤部分是否应该活检？——一种管理的分步方法。

Chordoma concurrent with benign notochordal cell tumor of the mobile spine. Should the chordoma part be biopsied? - A stepwise approach for management.

机构信息

Service de Chirurgie Orthopédique et traumatologie, CHRU de Tours, Tours, France; Orthopedic Surgery Department, Faculty of Medicine, University of Jeddah, Jeddah, Saudi Arabia.

Service d'Anatomie et Cytologie Pathologique, CHRU de Tours, Tours, France.

出版信息

Neurochirurgie. 2023 Nov;69(6):101488. doi: 10.1016/j.neuchi.2023.101488. Epub 2023 Sep 9.

DOI:10.1016/j.neuchi.2023.101488

PMID:37696448

Abstract

Some evidence suggests that benign notochordal tumors (BNCTs) could be a potential precursor of chordoma. We present an educational rare case of lumbar vertebral BNCTs concomitant with a destructive lesion not reachable on biopsy but thought to be chordoma. We present a stepwise approach for management of these difficult entities based on radiological features.

摘要

一些证据表明，良性脊索瘤（BNCT）可能是脊索瘤的潜在前兆。我们报告一例罕见的腰椎 BNCT 伴破坏性病变的病例，该病变无法通过活检触及，但被认为是脊索瘤。我们根据影像学特征提出了一种处理这些困难实体的逐步方法。