2015, Number 3
<< Back Next >>
Gaceta Médica Espirituana 2015; 17 (3)
Condrosarcoma of the first cervical vertebra. Case report
Álvarez RA, Lage BJC, Vera PFJ, García GEA, Llerena BM
Language: Spanish
References: 13
Page:
PDF size: 156.79 Kb.
ABSTRACT
Background: The primary tumors of the spine are strange, with a dear incidence of 2.8-8.5 of each 100 000 individuals annually. The condrosarcoma is the second more frequent bony neoplasia of the wicked primary bony tumors, being presented mainly in the axial skeleton: 45%; being very strange in the bones craneofacials and the column.
Objective: To describe the clinical presentation of a case with a condrosarcoma in the first cervical vertebra and the surgical behavior taken once diagnosed.
Case presentation: 86 years old masculine patient with antecedents of pharmacologically controlled hypertension that it begins with cervicalgia of difficult treatment, torticollis and disfagia to the solids. It is diagnosed by means of TAC of union skull-spinal lesion tumoral in C1.a partial exeresis of the tumor with occipito-cervical instrumentation is carried out, the patient evolves satisfactorily.
Conclusions: The condrosarcoma is a tumor of slow growth, of variable characteristics. The spinal localization is very strange. Their treatment includes the resection of the lesion with instrumentation if the spine is destabilized, besides chemotherapy and radiotherapy of being necessary.
REFERENCES
Álvarez López A, García Lorenzo Y, Casanova Morote C, Muñoz Infante A. Condrosarcoma. Rev Cubana Ortop Traumatol [Internet]. 2007 [citado: 2015 ene];21(2).Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-215X2007000200007
Domínguez CJ, Martín-Ferrer S, Rimbau J, Joly C. Condrosarcoma cervical alto. Neurocirugía [Internet]. 2005 [citado: 2015 ene];16:261-265. Disponible en: http://www.revistaneurocirugia.com/index.php?p=watermark&idApp=UINPBA00004B&piiItem=S1130147305704085&origen=neurocirugia&web=neurocirugia&urlApp=http://www.revistaneurocirugia.com/&estadoItem=S300&idiomaItem=es
Sampróm N, Aráosla M, Urculo E. Plasmocitoma de base craneal com inestabilidadcráneocervical. Neurocirugía [Internet]. 2009[citado: 2015 ene]; 20: 478-483. http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-14732009000500008
Schawb JH, Jacofsky DJ, Wenger D, Unni KK, Sim FH. Recurrent grade 1 Chondrosarcoma of long bones. J Am Acad Orthop Surg 2005;13:631.
Simal A, Sanchis-Martín R, Prat-Acín R. Xantoastrocitomapleomórfico espinal. Caso clínico. Neurocirugía [Internet]. 2010 [citado: 2015 ene]; 21(5):390-395. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-14732010000500004
Carrillo-Colmenero A, García de la Oliva T, Cabrera Ortiz HF. Fractura transdiscal y subluxación C5-C6 en paciente con espondilitis anquilopoyética. Neurocirugía [Internet]. 2006 [citado: 2015 ene];17(5): 440-444. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-14732006000500004
Coca-Pelaz A1, Rodrigo JP, Triantafyllou A, Hunt JL, Fernández-Miranda JC, Strojan P, et al. Chondrosarcomas of the head an neck. Eur Arch Otorhinolaryngol [Internet]. 2014 Oct [Cited: 2015 ene];271(10):2601-9. Available from: http://link.springer.com/article/10.1007%2Fs00405-013-2807-3
Künzel J1, Hainz M, Ziebart T, Pitz S, Ihler F, Strieth S, et al. Head and neck solitary fibrous tumors: a rare and challenging entity. Eur Arch Otorhinolaryngol [Internet]. 2015 May [Cited: 2015 jul 7]. Available fromhttp://link.springer.com/article/10.1007%2Fs00405-015-3670-1
Mokhtari S, Mirafsharieh A. Clear cell chondrosarcoma of the head and neck. Head Neck Oncol [Internet]. 2012 Apr [Cited: 2015 ene];4:13. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3350400/
Matsumoto Y, Takahashi Y, Harimaya K, Nakagawa T, Kawaguchi K, Okada S, et al. Dedifferentiated chondrosarcoma of the cervical spine: a case report. World J Surg Oncol [Internet]. 2013 Feb [Cited: 2015 ene]. 11:32. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3599151/
Merchant S, Mohiyuddin SM, Rudrappa S, Deo RP, Menon LR. Cervical Chondrosarcoma – Rare Malignancy: A Case Report. Indian J Surg Oncol. [Internet] 2014 Dec [cited: 2015 ene];(5) 4:293-296. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25767342
González-Darder, J. M. Evolución de la artrodesis cervical postdisectomía: ingerto óseo, placa, caja intersomática y placa-caja. Neurocirugía [Internet]. 2006 Apr [Citado: 2015 ene];17(2):140-7. Disponible en: http://www.revistaneurocirugia.com/web/artics/v17n2/8.pdf
Bescós A, Muñoz J, Colet S, Dominguez CJ, Cardiel I, Florensa R. Artrodesis posterior C1-C2. Experiencia en fijación transarticular e interarticular en 36 pacientes. Neurocirugia [Internet]. 2011 Abr [citado: 2015 ene];22 (2):140-9. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-14732011000200005