Fortuna A, Di Lorenzo N, Nolletti A, Nardi P
Ann Otolaryngol Chir Cervicofac. 1983;100(6):433-40.
3 spinal chondromas and 3 spinal osteochondromas are described and the relevant literature is reviewed. These oncotypes may remain symptomless or may present as a hard paravertebral swelling or with pain or, more rarely, with a slowly-developing neurological syndrome. Chondromas may appear at any age whereas osteochondromas are more likely to occur during the age of skeletal growth. Both have a predilection for males. Standard Xrays may be diagnostic in osteochondromas but do not always visualise chondromas, which may simulate malignant osteolytic lesions or giant cell tumors and their variants. Computed tomography is indispensable for defining the size of the lesion and its relationships with surrounding structures, for planning surgical treatment, and for following-up its evolution. For both oncotypes treatment is surgical. Recurrence is very rare even after subtotal removal. Malignant degeneration is likewise rare. Operative mortality is nil and neurological recovery is the rule.
本文描述了3例脊柱软骨瘤和3例脊柱骨软骨瘤，并对相关文献进行了综述。这些肿瘤类型可能无症状，或表现为椎旁硬性肿块、疼痛，或更罕见地表现为缓慢发展的神经综合征。软骨瘤可在任何年龄出现，而骨软骨瘤更易发生在骨骼生长年龄段。两者均好发于男性。标准X线片对骨软骨瘤可能具有诊断价值，但不一定能显示软骨瘤，软骨瘤可能类似恶性溶骨性病变或巨细胞瘤及其变异型。计算机断层扫描对于确定病变大小及其与周围结构的关系、规划手术治疗以及随访其演变情况不可或缺。对于这两种肿瘤类型，治疗均为手术治疗。即使次全切除后，复发也非常罕见。恶性变同样罕见。手术死亡率为零，神经功能恢复是常规情况。
