A Case of Entirely Intra-osseous Chordoma of the Fourth Cervical Vertebral Body
| Autor: | Akihiro Nishii, Masahiro Ushijima, Katsuhiro Omiya, Mitsumasa Hayashida, Masaki Yo, Yasuhide Uragami |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Neck pain Axial skeleton medicine.diagnostic_test business.industry medicine.medical_treatment Soft tissue Anatomy medicine.disease Skull medicine.anatomical_structure Bone scintigraphy Spinal fusion Medicine Vertebrectomy Radiology Chordoma medicine.symptom business |
| Zdroj: | Orthopedics & Traumatology. 52:314-318 |
| ISSN: | 1349-4333 0037-1033 |
| DOI: | 10.5035/nishiseisai.52.314 |
| Popis: | We report a rare case of entirely intra-osseous chordoma occurring in the fourth cervical vertebral body. Chordoma is a rare tumor of the axial skeleton most commonly found in the sacrococcygeal region and the base of the skull. The typical findings are large bone destruction and expansive growth into the soft tissue. A 67-year-old female complained of neck pain extending into the right shoulder. Radiographs and bone scintigraphy were normal. MRI demonstrated the lesion clearly, and showed low-intensity in T1 weighted images and high-intensity in T2 weighted images within the vertebral body. No expansion into the soft tissue was revealed. CT showed no bone destruction. We performed vertebrectomy and anterior spinal fusion. histopathological findings were compatible with chordoma. Her pain disappeared after surgery. One year after surgery, there is no local recurrence, but lung metastasis was suggested by CT. Careful follow up is necessary. |
| Databáze: | OpenAIRE |
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