Clinical outcome in Giant cell tumor of cervico-thoracic spine: Our experience with three cases.

Biopsy Excision Giant cell tumor of the spine Radiotherapy

Journal

International journal of surgery case reports
ISSN: 2210-2612
Titre abrégé: Int J Surg Case Rep
Pays: Netherlands
ID NLM: 101529872

Informations de publication

Date de publication:
2020
Historique:
received: 11 12 2019
revised: 14 04 2020
accepted: 20 05 2020
pubmed: 9 6 2020
medline: 9 6 2020
entrez: 8 6 2020
Statut: ppublish

Résumé

Giant cell tumor (GCT) of the spine is uncommon but most aggressive benign tumor of the spine with unpredictable outcome. The purpose of this study was to report on a surgical treatment for the cases of GCT (C2, T4 and C7-T1). The spine is not a common site for a Benign GCT, with a 2.5% incidence in the sacrum and 2.9% in the vertebrae above the sacrum. In the cervico-thoracic spine, the incidence is extremely low and has been reported very less in the literature. This study was conducted on 3 cases of GCT of the spine and evaluated the outcome of different treatment modalities retrospectively. All the cases were treated with intralesional surgical resection but only one developed recurrence. Cord compression and neurological deficits of varying grades was observed in all the cases. All patients also presented with clinical as well as radiological instability. Overall results were satisfactory, as all patients were symptom-free postoperatively. One out of the three cases had tumour recurrence and needed repeat intervention. Giant cell tumour of cervico-thoracic spine is a rare entity and should be managed Surgically with en bloc/extralesional resection but due to risk of surrounding neurovascular structures damage they are managed by marginal resection therefore since total resection is not possible there are high chances of recurrences, Hence require close monitoring and follow up for early diagnosis and appropriate management.

Sections du résumé

BACKGROUND BACKGROUND
Giant cell tumor (GCT) of the spine is uncommon but most aggressive benign tumor of the spine with unpredictable outcome. The purpose of this study was to report on a surgical treatment for the cases of GCT (C2, T4 and C7-T1). The spine is not a common site for a Benign GCT, with a 2.5% incidence in the sacrum and 2.9% in the vertebrae above the sacrum. In the cervico-thoracic spine, the incidence is extremely low and has been reported very less in the literature.
MATERIAL AND METHODS METHODS
This study was conducted on 3 cases of GCT of the spine and evaluated the outcome of different treatment modalities retrospectively. All the cases were treated with intralesional surgical resection but only one developed recurrence.
RESULTS RESULTS
Cord compression and neurological deficits of varying grades was observed in all the cases. All patients also presented with clinical as well as radiological instability. Overall results were satisfactory, as all patients were symptom-free postoperatively. One out of the three cases had tumour recurrence and needed repeat intervention.
CONCLUSION CONCLUSIONS
Giant cell tumour of cervico-thoracic spine is a rare entity and should be managed Surgically with en bloc/extralesional resection but due to risk of surrounding neurovascular structures damage they are managed by marginal resection therefore since total resection is not possible there are high chances of recurrences, Hence require close monitoring and follow up for early diagnosis and appropriate management.

Identifiants

pubmed: 32506028
pii: S2210-2612(20)30334-5
doi: 10.1016/j.ijscr.2020.05.033
pmc: PMC7283095
pii:
doi:

Types de publication

Journal Article

Langues

eng

Pagination

45-51

Informations de copyright

Copyright © 2020 The Authors. Published by Elsevier Ltd.. All rights reserved.

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Auteurs

Jagdeep Singh (J)

Department of Orthopaedics, Guru Gobind Singh Medical College and Hospital, Faridkot, India. Electronic address: jagatwal83@gmail.com.

Raj Bahadur (R)

Department of Orthopaedics, Guru Gobind Singh Medical College and Hospital, Faridkot, India. Electronic address: rajbahadur9@gmail.com.

Sorabh Garg (S)

Department of Orthopaedics, Guru Gobind Singh Medical College and Hospital, Faridkot, India. Electronic address: sorgag@gmail.com.

Karan Rajpal (K)

Department of Orthopaedics, Guru Gobind Singh Medical College and Hospital, Faridkot, India. Electronic address: krnrajpal@gmail.com.

Karan Chopra (K)

Department of Orthopaedics, Guru Gobind Singh Medical College and Hospital, Faridkot, India. Electronic address: drchoprakaran1990@gmail.com.

Classifications MeSH