成功切除腰椎巨细胞瘤：一例报告。
Successful total resection of a lumbar vertebra for a giant cell tumor: A case report.
作者信息
Hmamouche Oualid Mohammed, Lakhdar Faycal, Hammoud Marouane, Benzagmout Mohammed, Chakour Khalid, El Faiz Chaoui Mohammed
机构信息
Department of Neurosurgery, Hassan II Teaching Hospital, University Medical School Sidi Mohamed Ben Abdellah, Fez, Morocco.
出版信息
Surg Neurol Int. 2025 Apr 11;16:134. doi: 10.25259/SNI_322_2023. eCollection 2025.
BACKGROUND
Giant cell tumor (GCT) is a benign neoplasm that most commonly arises in the long bones; when these tumors rarely present as primary spinal bone tumors, they may exhibit local aggressive behavior, warranting extensive surgical resection.
CASE DESCRIPTION
An 11-year-old female presented with lower back, radicular pain, and paraparesis. The magnetic resonance imaging showed an L5 tumor with an extension into the spinal canal. Total spondylectomy of the L5, vertebra revealed a GCT. Postoperatively, the patient did well for 3 months.
CONCLUSION
GCTs of bone are aggressive benign bone tumors that rarely involve the spine. Gross total surgical excision is the treatment of choice for these lesions that exhibit high local recurrence rates.
背景
骨巨细胞瘤（GCT）是一种最常见于长骨的良性肿瘤；当这些肿瘤很少作为原发性脊柱骨肿瘤出现时，它们可能表现出局部侵袭性，需要进行广泛的手术切除。
病例描述
一名11岁女性出现下背部疼痛、神经根性疼痛和下肢轻瘫。磁共振成像显示L5椎体有肿瘤并延伸至椎管。L5椎体全脊椎切除术显示为骨巨细胞瘤。术后，患者情况良好，持续了3个月。
结论
骨巨细胞瘤是侵袭性良性骨肿瘤，很少累及脊柱。对于这些具有高局部复发率的病变，手术全切是首选治疗方法。
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