Large enchondroma of the thoracic spine: a rare case report and review of the literature

التفاصيل البيبلوغرافية
العنوان: Large enchondroma of the thoracic spine: a rare case report and review of the literature
المؤلفون: Erxing He, Jing Guo, Gao Juzhou, Zhi-xun Yin, Guo Lianjin
المصدر: BMC Musculoskeletal Disorders
BMC Musculoskeletal Disorders, Vol 18, Iss 1, Pp 1-5 (2017)
بيانات النشر: BioMed Central, 2017.
سنة النشر: 2017
مصطلحات موضوعية: Gadolinium DTPA, medicine.medical_specialty, lcsh:Diseases of the musculoskeletal system, Medullary cavity, Enchondroma, Contrast Media, Case Report, Osteolysis, Thoracic Vertebrae, 030218 nuclear medicine & medical imaging, 03 medical and health sciences, 0302 clinical medicine, Rheumatology, medicine, Enchondromatosis, Humans, Orthopedics and Sports Medicine, Orthopedic Procedures, Spinal Neoplasms, medicine.diagnostic_test, business.industry, Hyaline cartilage, Magnetic resonance imaging, Middle Aged, medicine.disease, Magnetic Resonance Imaging, medicine.anatomical_structure, Hyaline Cartilage, Back Pain, Thoracic vertebrae, Orthopedic surgery, Female, Radiography, Thoracic, Radiology, lcsh:RC925-935, Thoracic spine, Neoplasm Recurrence, Local, business, Tomography, X-Ray Computed, 030217 neurology & neurosurgery, Chondroma
الوصف: Background Enchondroma, a subtype of chondroma, originates from the medullary cavity of the bone and produces an expansile growth pattern. Enchondroma located in the spine is rare and a few cases of large thoracic enchondroma have been reported. The authors document a rare case of large enchondroma in the thoracic spine of a 49-year-old woman, and discuss its clinical, radiological and histopathological characteristics. Case presentation The patient presented with rapidly progressive and severe pain on her upper back. Magnetic resonance imaging revealed an expansile lesion at the posterior elements of T3 that was hypointense on T1-weighted images and mixed iso- to hyperintense on T2-weighted images. Administration of gadolinium-diethylenetriamine pentaacetic acid (Gd-DTPA) resulted in heterogeneous enhancement. During surgery, a large tumor of 4.2cm × 4.7cm × 2.1cm was resected along with the lamina and spinous process. Histological examination revealed that the tumor consisted of mature hyaline cartilage with typical chondrocytes, indicating that it was an enchondroma. Conclusions Despite its benign-growing nature, enchondroma should be examined closely for signs of enchondromatosis and enchondrosarcoma. Complete surgical resection is the treatment of choice for immediate relief of symptoms and avoidance of recurrence.
اللغة: English
تدمد: 1471-2474
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::ae5b24be4977404f57878b56e2afd8feTest
http://europepmc.org/articles/PMC5390427Test
حقوق: OPEN
رقم الانضمام: edsair.doi.dedup.....ae5b24be4977404f57878b56e2afd8fe
قاعدة البيانات: OpenAIRE