Cybulski G R, Von Roenn K A, Bailey O T
Surg Neurol. 1984 Sep;22(3):267-72. doi: 10.1016/0090-3019(84)90012-0.
A 15-year-old black female student came to the hospital because of disturbance of her gait. On examination, there was a dermal sinus in the skin overlying the spine of the seventh cervical vertebra, and myelography with computed tomography scan demonstrated a block to the flow of metrizamide contrast material at T-5 with cephalad extension of an intradural cystic lesion to the C-5 level. An x-ray examination of the abdomen at the time demonstrated a tooth-shaped radiodensity in the left hypogastrium. On exploration of the spine via C5-T5 laminectomy an intramedullary cystic teratoid tumor was found which was partially excised. At later exploration of the abdomen, a teratoma of the left ovary was removed. The pathology and natural history of teratomas and teratoid tumors is discussed along with surgical management of these tumors.
一名15岁的黑人女学生因步态不稳前来医院就诊。检查发现，第七颈椎棘突上方的皮肤有一个皮样窦，脊髓造影计算机断层扫描显示，在T-5水平有甲泛葡胺造影剂流动受阻，硬膜内囊性病变向头侧延伸至C-5水平。当时的腹部X线检查显示左下腹有一个齿状高密度影。通过C5-T5椎板切除术探查脊柱时，发现了一个髓内囊性畸胎瘤，并进行了部分切除。后来在腹部探查时，切除了左侧卵巢的一个畸胎瘤。本文讨论了畸胎瘤和畸胎样肿瘤的病理、自然史以及这些肿瘤的手术治疗。
