Spinal Cord Injury due to the Giant Cell Tumor of the Second Thoracic Vertebra: A Case Report
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Giant cell tumor (GCT) is a relatively rare neoplasm. In GCT, the bone affection of the axial skeleton is extremely rare. Most GCT arises in the meta-epiphyseal ends of the long bones. Its peak incidence is between 30 to 40 years of age. GCT is usually classified as benign, but shows locally aggressive behavior and may occasionally undergo a malignant transformation. The patients with GCT in the spine often complain of the lower back pains, as the tumors primarily involve the sacrum. We report a case of an adolescent female complaining of the upper back pain with a sudden weakness of the lower extremities, later diagnosed with the GCT of the T2 vertebra. The present patient showed American Spinal Injury Association Impairment Scale (AIS) D before the surgery, which changed to AIS E after the treatments including the surgery, radiation therapy and rehabilitation.
Abstract
Giant cell tumor (GCT) is a relatively rare neoplasm. In GCT, the bone affection of the axial skeleton is extremely rare. Most GCT arises in the meta-epiphyseal ends of the long bones. Its peak incidence is between 30 to 40 years of age. GCT is usually classified as benign, but shows locally aggressive behavior and may occasionally undergo a malignant transformation. The patients with GCT in the spine often complain of the lower back pains, as the tumors primarily involve the sacrum. We report a case of an adolescent female complaining of the upper back pain with a sudden weakness of the lower extremities, later diagnosed with the GCT of the T2 vertebra. The present patient showed American Spinal Injury Association Impairment Scale (AIS) D before the surgery, which changed to AIS E after the treatments including the surgery, radiation therapy and rehabilitation.
참고문헌 (9)
- Hunter CL., "Giantcell tumors of the cervical spine: case report", Neurosurgery, 59, pp.E1142~E1143 (2006)
- Sanjay BK., "Giant-cell tumours of the spine", J Bone Joint Surg Br, 75, pp.148~154 (1993)
- Balke M., "Giant cell tumors of the axial skeleton", Sarcoma, 2012, pp.410973~ (2012)
- Refai D., "Giant cell tumor of the thoracic spine : case report and review of the literature", Surg Neurol, 71, pp.228~233 (2009)
- Mendenhall WM., "Giant cell tumor of bone", Am J Clin Oncol, 29, pp.96~99 (2006)
- Terry RY., "Tumors and tumor-like processes, In Essentials of skeletal radiology. 3rd ed", pp.1224~ (2005), Lippincott Williams & Wilkins
- Yasko AW., "Giant cell tumor of bone", Curr Oncol Rep, 4, pp.520~526 (2002)
- Martin C., "Giant cell tumor of the sacrum and spine : series of 23 cases and a review of the literature", Iowa Orthop J, 30, pp.69~75 (2010)
- Kirshblum SC., "Spinal cord injury medicine. 3.Rehabilitation phase after acute spinal cord injury", Arch Phys Med Rehabil, 88(3 Suppl 1), pp.S62~S70 (2007)
