Lumbar spinal chondroma presented with radiculopathy: A case report

Yıl 2011, Cilt: 3 Sayı: 3, 28 - 30, 01.08.2011

Alper Karaoğlan Bilal Kelten Osman Akdemir Mehmet Alpay Çal

Öz

Although chondromas are common benign cartilaginous bone tumors, spinal chondromas are very unusual. However, spinal chondromas may present with local mass, local pain, spinal cord compression symptoms, cauda equina syndrome; they also present with radicular symptoms rarely. Here, a patient with the chief complaint: progressive low back pain radiating left leg, is presented as a case of lumbar spinal chondroma. In this kind of cases; preoperative evaluation of the lesion must be done carefully, total excision of the lesion must be done before neurological damages develop, and also histopathological studies must be done because of a potential risk of malign transformation as a cardinal importance.

Anahtar Kelimeler

chondroma, lumbar vertebrae, radiculopathy

Radikülopati ile prezente olan lumbar spinal kondroma: Olgu sunumu

Öz

Kondromalar sık rastlanan kıkırdak kaynaklı benign kemik tümörleri olmakla beraber spinal yerleşimli kondromalar nadirdir. Spinal yerleşimli kondromalar klinik olarak lokal kitle, lokal ağrı, kord basısı semptomları, cauda equina sendromu veya daha da seyrek olarak radiküler semptomlar ile belirti verebilirler. Burada bel ağrısının sol bacağına yayılması şikayetiyle başvuran bir lumbar spinal kolon kondroma olgusu sunulmuştur. Bu olgularda lezyonun preoperatif değerlendirilmesi dikkatli yapılmalı, major nörolojik hasar gelişmeden önce kitlenin eksizyonu yapılmalı ve lezyonun malin transformasyon gösterme potansiyeli nedeniyle lezyonun histopatolojik değerlendirmesi yapılmalıdır.

Anahtar Kelimeler

kondroma, lumbar vertebra, radikülopati

Kaynakça

• 1. Gaetani P, Tancioni F, Merlo P, Villani L, Spanu G, Baena RR. Spinal chondroma of the lumbar tract: case report. Surgical Neurology. 1996;46(6):534-539.
• 2. Panelos J, Voulgaris S, Michos E, Doukas M, Charalabopoulos K, Batistatou A. Chondrosarcoma of the spine: A rare case with unusual presentation. Diagnostic Pathology. 2006;1:39.
• 3. Faik A, Filali SM, Lazrak N, El Hassani S, Hajjaj-Hassouni N. Spinal cord compression due to vertebral osteochondroma:report of two cases. Joint Bone Spine 2005;72:177–179.
• 4. Camins MB, Jenkins III AL, Singhal A, Perrin RG. Tumors of the Vertebral Axis: Benign, Primary Malignant and Metastatic Tumors. In: Winn HR, editor. Youmans Neurological Surgery. 5th Saunders, 2001; 4835-4868.
• 5. Lane J, Cammisa FJ, Glasser D. Benign cartilage tumors of the spine. In: Sundaresan N, Schmidek HH, Schiller AL, Rosenthal DI, eds. Tumors of the spine: Diagnosis and Clinical Management. WB Saunders, PL. 1990;146-148.
• 6. Emanuelson I, Kyllerman M, Roos A. Hereditary multiple exostosis with spinal cord compression in a 13- year-old boy. J Neurol Neurosurg Psychiatry. 1994;57:238-239.
• 7. Scarborough M, Moreau G. Benign cartilage tumors. Ortop Clin North America 1996;27:583-589.
• 8. Albrecht S, Crutchfield JS, Segal GK. On spinal osteokondromas. J Neurosurg 1992;77:247-252.
• 9. Woertler K. Benign bone tumors and tumor-like lesions: value of cross-sectional imaging European Radiology 2003;8:1820-1835.