腰椎巨细胞瘤全切除成功1例。

Surgical neurology international Pub Date : 2025-04-11 eCollection Date: 2025-01-01 DOI:10.25259/SNI_322_2023
Oualid Mohammed Hmamouche, Faycal Lakhdar, Marouane Hammoud, Mohammed Benzagmout, Khalid Chakour, Mohammed El Faiz Chaoui
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引用次数: 0

摘要

背景:巨细胞瘤(GCT)是一种最常见于长骨的良性肿瘤;当这些肿瘤很少表现为原发性脊柱骨肿瘤时,它们可能表现出局部侵袭性行为,需要广泛的手术切除。病例描述:一名11岁女性,表现为下背部、神经根性疼痛和麻痹。磁共振成像显示L5肿瘤延伸至椎管。L5椎体全椎体切除术显示GCT。术后3个月,患者恢复良好。结论:骨gct为侵袭性良性骨肿瘤,很少累及脊柱。对于表现出高局部复发率的这些病变,手术切除是治疗的选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Successful total en bloc resection of a lumbar vertebra for a giant cell tumor: A case report.

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 en bloc 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.

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