冠状瘤源于椎盘,模仿一个柱状囊
Michael Mazzucco1, Sinchun Hwang2, Konstantinos Linos3
1Weill Cornell/Rockefeller/Sloan Kettering Tri-Institutional MD-PhD Program, New York, NY, 10065, USA.
Skeletal radiology
|November 12, 2023
概括
这种病例突显出一种罕见的瘤 (一种类型的骨癌),在骨区域呈现异常,最初被误诊为柱状囊. 意识到这种不寻常的表现对于精确诊断和治疗神经囊瘤至关重要.
科学领域:
- 在瘤学瘤学.
- 手术病理学手术病理学
- 放射学 放射学是一门学科.
背景情况:
- 脊髓瘤是一种罕见的,低度恶性瘤,通常起源于脊椎骨残骸.
- 它们通常发生在神经囊区域,并以局部复发而闻名.
- 非典型的表现可能导致延迟或不正确的诊断.
研究的目的:
- 报告一个不寻常的胆瘤病例,其起源于椎间盘的椎间盘.
- 强调在中线逆骨损伤中考虑冠状腺瘤的重要性.
- 提高对诊断挑战和潜在错误分类的认识.
主要方法:
- 一个40岁的患者的病例报告,有症状的中线逆骨损伤.
- 基于临床和成像特征的初始推定诊断 (误认为是柱状囊).
- 手术病理确认瘤,然后进行救援手术 (部分分泌术).
主要成果:
- 冠状瘤呈现异常,占主导地位的尾椎位点和椎间盘起源.
- 最初的临床和成像发现模仿了柱状囊,导致假定治疗.
- 患者接受了救援手术,因为确认了心脏瘤.
结论:
- 椎间盘瘤可以呈现异常,包括椎间盘起源和大皮下质量.
- 错误诊断是可能的,因为临床和成像特征与更常见的疾病,如柱状囊重叠.
- 对于稀有呈现的圣肌性胆瘤,需要提高临床警,以确保及时和适当的管理.
相关概念视频
Spinal Nerves: Plexus II
641
The plexuses of the lower body include the lumbar, sacral, and coccygeal plexuses, which innervate the abdomen, pelvis, legs, and coccygeal region. These plexuses control the transmission of sensory information and coordinate motor functions of the lower body.
The Lumbar Plexus
The lumbar plexus is situated within the lumbar region of the back and is primarily formed by the first four lumbar spinal nerves (L1 to L4). This plexus extends its branches into several nerves, including the...
The Lumbar Plexus
The lumbar plexus is situated within the lumbar region of the back and is primarily formed by the first four lumbar spinal nerves (L1 to L4). This plexus extends its branches into several nerves, including the...
641
The Spinal Cord
29.3K
The spinal cord is the body’s major nerve tract of the central nervous system, communicating afferent sensory information from the periphery to the brain and efferent motor information from the brain to the body. The human spinal cord extends from the hole at the base of the skull, or foramen magnum, to the level of the first or second lumbar vertebra.
29.3K
Cranial Bones: Lateral View
2.3K
The lateral view of the cranium is dominated by temporal, sphenoid, and ethmoid bones.
The temporal bone forms the lower lateral side of the skull. The temporal bone is subdivided into several regions. The flattened upper portion is the squamous portion of the temporal bone. Below this area and projecting anteriorly is the zygomatic process of the temporal bone, which forms the posterior portion of the zygomatic arch. Posteriorly is the mastoid portion of the temporal bone. Projecting...
The temporal bone forms the lower lateral side of the skull. The temporal bone is subdivided into several regions. The flattened upper portion is the squamous portion of the temporal bone. Below this area and projecting anteriorly is the zygomatic process of the temporal bone, which forms the posterior portion of the zygomatic arch. Posteriorly is the mastoid portion of the temporal bone. Projecting...
2.3K
Spinal Nerves: Anatomy
3.0K
Spinal nerves are pivotal conduits in the nervous system, bridging the central nervous system (CNS) with the peripheral nervous system (PNS). These nerves enable a complex communication network between the brain, spinal cord, and the rest of the body, facilitating sensory input, motor output, and autonomic functions.
There are 31 bilateral pairs of spinal nerves, each emerging from the spinal cord through the intervertebral foramina—openings between adjacent vertebrae. These nerves are...
There are 31 bilateral pairs of spinal nerves, each emerging from the spinal cord through the intervertebral foramina—openings between adjacent vertebrae. These nerves are...
3.0K
Spinal Cord: Gross Anatomy
3.2K
The spinal cord resides within the protective confines of the vertebral column. It is the main pathway for information traveling between the brain and the body. It plays a fundamental role in nearly all bodily functions, from simple reflexes to complex motor movements. The spinal cord begins at the medulla oblongata at the base of the brainstem and extends downward, terminating at the conus medullaris near the first and second lumbar vertebrae. The spinal cord's length in adults is...
3.2K
Sympathetic Pathways: Sympathetic Chain Ganglia
2.7K
The sympathetic chain ganglia, also known as the sympathetic trunk ganglia or paravertebral ganglia, are a series of ganglia located bilaterally on either side of the spinal column. These ganglia serve as relay stations for the sympathetic nervous system. Preganglionic neurons originating in the spinal cord project their axons to the sympathetic chain ganglia. Within the ganglia, these preganglionic fibers synapse with postganglionic neurons.The postganglionic neurons of the sympathetic trunk...
2.7K


