Tabibkhooei Alireza, Javadnia Parisa
Department of Neurosurgery, Iran University of Medical Sciences, Tehran, Iran.
Indian J Surg Oncol. 2024 Mar;15(Suppl 1):22-28. doi: 10.1007/s13193-022-01659-8. Epub 2022 Oct 13.
Chondroblastoma is a rare benign cartilaginous bone tumor typically seen at the epiphysis of long axial bones. In this regard, there are rare findings about spinal chondroblastomas. We report a 29-year-old man with T1 vertebral chondroblastoma misdiagnosed with a traumatic fracture following an accident. The patient was admitted to our clinic with a chief complaint of axial back pain and kyphosis following posterior spinal fixation. We report his clinical and imaging data before his past operation and at this admission. Our patient underwent a two-stage operation. In the first stage, posterior spinal reconstruction and kyphosis correction was performed. In the second stage, mass resection was performed anteriorly in the T1 vertebral body as much as possible. The results confirmed the chondroblastoma diagnosis histologically. Our patient remained symptom-free with no growth in tumor remnant during 6 months follow-up. Although vertebral chondroblastoma is a sporadic tumor, it should be considered in the differential diagnosis when facing a vertebral infiltrative osteolytic mass, even when mimicking a traumatic fracture after the accident. In addition, histological confirmation is necessary under such conditions. We also reviewed the literature's clinical presentations, imaging findings, and treatments of 34 case reports with vertebral chondroblastoma.
软骨母细胞瘤是一种罕见的良性软骨性骨肿瘤,通常见于长轴骨的骨骺。在这方面,关于脊柱软骨母细胞瘤的报道很少。我们报告一例29岁男性,其T1椎体软骨母细胞瘤在一次事故后被误诊为创伤性骨折。该患者因脊柱后路固定术后轴向背痛和脊柱后凸为主诉入院。我们报告了他上次手术前及此次入院时的临床和影像学资料。我们的患者接受了两阶段手术。第一阶段,进行了脊柱后路重建和脊柱后凸矫正。第二阶段,尽可能在T1椎体前方进行肿物切除。结果经组织学证实为软骨母细胞瘤。我们的患者在6个月的随访期间无症状,肿瘤残余无生长。尽管椎体软骨母细胞瘤是一种散发性肿瘤,但当面对椎体浸润性溶骨性肿物时,即使其在事故后类似创伤性骨折,在鉴别诊断中也应考虑到它。此外,在这种情况下组织学确诊是必要的。我们还回顾了34例椎体软骨母细胞瘤病例报告的文献中的临床表现、影像学表现及治疗方法。