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Primary telangiectatic osteosarcoma of the cervical spine
- Source :
- Journal of Neurosurgery: Spine. 16:373-378
- Publication Year :
- 2012
- Publisher :
- Journal of Neurosurgery Publishing Group (JNSPG), 2012.
-
Abstract
- Telangiectatic osteosarcoma (TOS) is one of the 8 subtypes of osteosarcoma that infrequently affects the spine. The radiopathological features of TOS overlap with those of more benign entities, most commonly the aneurysmal bone cyst), and therefore is a significant diagnostic challenge. It is a rare but well-described entity in the thoracolumbar and sacral spine, and to the authors' knowledge has not been previously reported in the cervical spine. The authors report the case of a 15-year-old boy who presented with a 6-month history of neck pain and torticollis. He underwent preoperative glue embolization followed by a staged subtotal C-5 spondylectomy and posterior fusion for a C-5 vertebral body lytic expansile lesion. Histopathological examination showed the lesion to be TOS. The surgery was followed by adjuvant radiation and chemotherapy with a favorable outcome at the 1-year follow-up. This report reiterates that TOS is an important differential diagnosis for aneurysmal bone cyst and giant-cell tumor of the spine, as its biological behavior and clinical outcome differ from those of these more benign lesions, which it mimics.
- Subjects :
- musculoskeletal diseases
medicine.medical_specialty
Neck pain
business.industry
medicine.medical_treatment
Laminectomy
General Medicine
Aneurysmal bone cyst
medicine.disease
Surgery
Telangiectatic Osteosarcoma
medicine
Osteosarcoma
Embolization
Radiology
medicine.symptom
Differential diagnosis
business
Torticollis
Subjects
Details
- ISSN :
- 15475654
- Volume :
- 16
- Database :
- OpenAIRE
- Journal :
- Journal of Neurosurgery: Spine
- Accession number :
- edsair.doi...........031a3d46411c16e2fa58e3a1e3ccac60