Dahlin D C
Cancer. 1977 Mar;39(3):1350-6. doi: 10.1002/1097-0142(197703)39:3<1350::aid-cncr2820390351>3.0.co;2-1.
A study of 31 cases of giant-cell tumor of vertebrae above the sacrum indicates that this unusual diagnosis is sometimes appropriate. Several entities, especially aneurysmal bone cyst and osteoblastoma, should be considered in the diffferential diagnosis. Evidence indicates that excision, sometimes with ancillary irradiation, provides a better chance for cure than would be expected with giant-cell tumor in other sites--sites where recurrent, generally large tumors develop in nearly half of the cases. Giant-cell tumors of vertebrae may affect vertebral bodies or arches and may cause irreversible damage to the spinal cord or to the emerging roots.
一项针对31例骶骨以上椎体巨细胞瘤的研究表明，这种不常见的诊断有时是恰当的。在鉴别诊断中应考虑几种疾病，尤其是动脉瘤样骨囊肿和成骨细胞瘤。有证据表明，手术切除，有时辅以放疗，比其他部位的巨细胞瘤更有可能治愈，因为在其他部位，近半数病例会出现复发且通常是大肿瘤。椎体巨细胞瘤可能影响椎体或椎弓，并可能对脊髓或神经根造成不可逆的损害。
