지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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Chondrosarcoma is a very uncommon malignant primary bone tumor, especially, it occurs extremely rare in the spine. A 52-year-old man was admitted to the emergency room with sudden paraplegia. Twelve hours prior to a paraplegic event, he visited an outpatient clinic with discomfort and tenderness around the medial border of the right scapular, and his neurologic status was absolutely intact. Magnetic resonance imaging showed a lobulated soft tissue mass from T3 to T5, which extended to the epidural space. Computed tomography scans showed soft tissue mass on the spinal posterior arch and osteolytic change of the adjacent bony structures. Emergent surgery was performed and the lesion was removed. Dark reddish blood and gel-like material were encountered around the dura and posterior arch during the operation. Multiple pulmonary nodules were found on a chest CT scan and a biopsy of one of them had been proven to be a metastasis of chondrosarcoma. The histologic examination showed dedifferentiated chondrosarcoma. The patient's neurologic deficit was improved slowly from ASIA A to ASIA D. Chondrosarcoma in the spine is extremely rare, even more with acute hemorrhage and sudden expansion into the epidural space. We named it chondrosarcoma apoplexy. We should consider the possibility of a hemorrhagic event when the patient's neurologic deficit worsens suddenly with spinal bone tumor.
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참고문헌 (15)
참고문헌 신청
Anract P / 1994 / Dedifferentiated chondrosarcoma. A study of 13 clinical cases and review of the literature / Rev Chir Orthop Reparatrice Appar Mot 80:669~680
Boriani S / 2000 / Chondrosarcoma of the mobile spine : report on 22 cases / Spine 25:804~812
Chow WA / 2007 / Update on chondrosarcomas / Curr Opin Oncol 19:371~376
Collins MS / 2003 / Clear cell chondrosarcoma : radiographic, computed tomographic, and magnetic resonance findings in 34 patients with pathologic correlation / Skeletal Radiol 32:687~694
Foweraker KL / 2007 / High-dose radiotherapy in the management of chordoma and chondrosarcoma of the skull base and cervical spine : part 1--Clinical outcomes / Clin Oncol (R Coll Radiol) 19:509~516
Boriani S / 2000 / Chondrosarcoma of the mobile spine : report on 22 cases / Spine 25:804~812
Chow WA / 2007 / Update on chondrosarcomas / Curr Opin Oncol 19:371~376
Collins MS / 2003 / Clear cell chondrosarcoma : radiographic, computed tomographic, and magnetic resonance findings in 34 patients with pathologic correlation / Skeletal Radiol 32:687~694
Foweraker KL / 2007 / High-dose radiotherapy in the management of chordoma and chondrosarcoma of the skull base and cervical spine : part 1--Clinical outcomes / Clin Oncol (R Coll Radiol) 19:509~516
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