Giant Cervical Spine Osteochondroma in an Adolescent Female

Huda, Najmul; Julfiqar, Mohammad; Pant, Ajay; Jameel, Tariq

doi:10.7860/jcdr/2014/7906.4333

Cited by 4 publications

(2 citation statements)

References 6 publications

(6 reference statements)

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“…Complete excision of the cartilage cap is recommended to avoid recurrence, which occurs in 2% to 5% of lesions, with a mean recurrence time of 5 years. 10,11 Plain radiography is useful to diagnose osteochondromas of the extremities. 1 However, osteochondromas arising from the spine are difficult to diagnose by this method and clinical features alone because of the complicated anatomy of the spine.…”

Section: Discussionmentioning

confidence: 99%

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Application of 3D-Printed Model in the Cervical Spine Osteochondroma Surgery: A Case Report

et al. 2021

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A 73-year-old woman having a throat lump sensation and dysphagia for the past several months presented at our otorhinolaryngology outpatient clinic. A physical examination disclosed a protruding subepithelial mass over the right tonsil fossa. The mass was not tender and had no mucosal lesions or signs of active infection. Therefore, we arranged face and neck computed tomography scans, which reported a solitary osseous lesion over the anterior-right aspect of the C1-2 joint. Considering the rarity and unfamiliar anatomy of this disease, we built a 3D-printed model to assist with the surgical rehearsal of the procedure as well as with a preoperation discussion with the patient and her family. We arranged a combined Otolaryngology-Neurosurgery department approach after discussion with the neurosurgeon and successfully removed the lesion without sacrificing the overlying longus capitis muscle. The pathology examination revealed no evidence of malignancy. The final diagnosis was cervical spine solitary osteochondroma. The patient had a complete recovery of both oral cavity and normal swallowing function. No tumor recurred during the 3-year follow-up. On the basis of this case, in-house 3D-printing technology can offer a rapid, reliable model for an interdisciplinary team to use to enhance personalized presurgical planning, thus providing better patient engagement during hospitalization.

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Section: Discussionmentioning

confidence: 99%

“…Complete excision of the cartilage cap is recommended to avoid recurrence, which occurs in 2% to 5% of lesions, with a mean recurrence time of 5 years. 10,11…”

Section: Discussionmentioning

confidence: 99%

Application of 3D-Printed Model in the Cervical Spine Osteochondroma Surgery: A Case Report

et al. 2021

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Correction of a Forefoot Deformity Caused by a Large, Solitary Metatarsal Osteochondroma in an Adolescent: A Case Report

Patil

Khan

et al. 2016

The Journal of Foot and Ankle Surgery

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Solitary Osteochondroma of the Spine—A Case Series: Review of Solitary Osteochondroma With Myelopathic Symptoms

Yakkanti

Onyekwelu

Carreon

et al. 2017

Global Spine Journal

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Study Design:Case series and literature review.Objective:There is a growing body of literature supporting that osteochondroma of the spine may not be as rare as previously documented. The purpose of this study was to perform an updated review and present our experience with 4 cases of solitary osteochondroma of the spine, including surgical treatment and subsequent outcomes.Methods:A review of 4 cases and an updated literature review.Results:All 4 cases were diagnosed as solitary osteochondroma of the spine based on clinical and histopathologic findings. Majority of the lesions arose from the posterior column with one case showing extension into the middle column with clinical neurologic sequelae. Treatment strategies for all cases included complete marginal excision of the lesions using a posterior approach. All 4 cases showed no radiographic evidence of recurrence. The literature review yielded 132 cases of solitary osteochondroma and 17 case associated with multiple hereditary exostosis. Out of the 132 cases, 36 presented with myelopathic symptoms.Conclusion:Osteochondroma of the spine may not be as rare as previously reported. The best approach to treatment in almost all symptomatic cases include wide surgical excision of the tumor. This should include complete resection of the cartilaginous cap of the tumor in an effort to prevent recurrence. When excision is performed properly, the outcomes are excellent with very low recurrence of the tumor.

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Giant Cervical Spine Osteochondroma in an Adolescent Female

Cited by 4 publications

References 6 publications

Application of 3D-Printed Model in the Cervical Spine Osteochondroma Surgery: A Case Report

Application of 3D-Printed Model in the Cervical Spine Osteochondroma Surgery: A Case Report

Correction of a Forefoot Deformity Caused by a Large, Solitary Metatarsal Osteochondroma in an Adolescent: A Case Report

Solitary Osteochondroma of the Spine—A Case Series: Review of Solitary Osteochondroma With Myelopathic Symptoms

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