Primary telangiectatic osteosarcoma of the cervical spine

Turel, Mazda K. ; Joseph, Vivek ; Singh, Vandita ; Moses, Vinu ; Rajshekhar, Vedantam (2012) Primary telangiectatic osteosarcoma of the cervical spine Journal of Neurosurgery: Spine, 16 (4). pp. 373-378. ISSN 1547-5654

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Official URL: http://thejns.org/doi/abs/10.3171/2011.12.SPINE111...

Related URL: http://dx.doi.org/10.3171/2011.12.SPINE111037

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.

Item Type:Article
Source:Copyright of this article belongs to American Association of Neurological Surgeons.
ID Code:95567
Deposited On:01 Aug 2013 11:27
Last Modified:01 Aug 2013 11:27

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