Extraskeltal Outgrowth of Solitary Synovial Osteochondroma of the Cervical Spine: A Case Report.

cervical spine spinal tumor synovial osteochondroma

Journal

NMC case report journal
ISSN: 2188-4226
Titre abrégé: NMC Case Rep J
Pays: Japan
ID NLM: 101692589

Informations de publication

Date de publication:
Jul 2020
Historique:
received: 10 06 2019
accepted: 12 11 2019
entrez: 23 7 2020
pubmed: 23 7 2020
medline: 23 7 2020
Statut: epublish

Résumé

We report a rare case of a solitary synovial osteochondroma (SSO) in the cervical canal. A 37-year-old man presented with neck pain and the forearm dysesthesia developed immediately after a trivial motor accident. Because of aggravation he visited our hospital though he was treated conservatively for 3 months. A computed tomography (CT) scan showed an oval shaped small mass with high density rim in the cervical canal at the level of the C6/7 facet joint. This mass compressing the dural sac was visualized with a high intensity signal in T2-weighted magnetic resonance imaging (MRI) and, interestingly, with high intensity in T1-weighted images. A surgical removal was carried out. Macroscopically, it consists of a solitary, firm, juxta-articular mass associated with synobia but lacking connection with the adjacent bone. Microscopically, it is similar to conventional osteochondromas. It differs from this entity by not arising from a bone surface and by a whole coverage of synobial tissue. The final diagnosis was a SSO. There have been anecdotal case reports of a SSO in various site including knee, fingers, buttocks, wrist, and so on. To the best of our knowledge, this is the first case report of SSO arising in the spinal canal.

Identifiants

pubmed: 32695554
doi: 10.2176/NMCCRJ.cr.2019-0126
pii: nmccrj-7-89
pmc: PMC7363636
doi:

Types de publication

Case Reports

Langues

eng

Pagination

89-92

Informations de copyright

© 2020 The Japan Neurosurgical Society.

Déclaration de conflit d'intérêts

Conflicts of Interest Disclosure All authors report no conflicts of interest regarding this article.

Références

Mayo Clin Proc. 1974 Oct;49(10):721-6
pubmed: 4421217
Int Med Case Rep J. 2012 Nov 01;5:83-6
pubmed: 23754930
Cancer. 1978 Apr;41(4):1414-24
pubmed: 76505
Skeletal Radiol. 1999 Oct;28(10):594-8
pubmed: 10550539
J Neurosurg Spine. 2008 May;8(5):473-7
pubmed: 18447695
J Foot Ankle Surg. 2019 Jul;58(4):807-810
pubmed: 31079982
J Neurosurg Spine. 2006 Dec;5(6):514-9
pubmed: 17176015
Clin Orthop Relat Res. 1985 Jun;(196):248-52
pubmed: 3995824
Ann Diagn Pathol. 2010 Apr;14(2):94-9
pubmed: 20227014
Skeletal Radiol. 1989;18(6):435-7
pubmed: 2814552
SICOT J. 2017;3:55
pubmed: 28905738
J Hand Surg Am. 1987 Mar;12(2):212-7
pubmed: 3559073
J Orthop Surg (Hong Kong). 2006 Aug;14(2):192-5
pubmed: 16914787

Auteurs

Homare Nakamura (H)

Department of Neurosurgery, St. Marianna University School of Medicine Yokohama City Seibu Hospital, Yokohama, Kanagawa, Japan.
Department of Neurosurgery, Ishioka Cardiology and Neurosurgery Hospital, Omitama, Ibaraki, Japan.

Tadashi Kudo (T)

Department of Neurosurgery, Ishioka Cardiology and Neurosurgery Hospital, Omitama, Ibaraki, Japan.

Hiroo Kobayashi (H)

Department of Neurosurgery, Ishioka Cardiology and Neurosurgery Hospital, Omitama, Ibaraki, Japan.

Yoshio Taguchi (Y)

Department of Neurosurgery, St. Marianna University School of Medicine Yokohama City Seibu Hospital, Yokohama, Kanagawa, Japan.

Masayuki Takagi (M)

Department of Pathology, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan.

Classifications MeSH