摘要
骨軟骨瘤通常只有百分之三發生在脊椎，大部份是無症狀的且無須治療。但確實有這樣的病例，有時併發其他良性的骨腫瘤。然而本文三位患者，脊椎管(spinal canal)受到骨軟骨瘤侵犯有兩例，另一例無神經學症狀，但頸後方可觸摸到一腫塊，而且有愈來愈大之現象。我們報告這三病例，其中二者接受蜘蛛網膜顯影劑電腦斷層攝影(computed tomogram myelography)檢查，另外一個病例則只有檢查電腦斷層攝影(computed tomogram)。
並列摘要
Osteochondroma in spine is uncommon and only 3% have been reported. Usually, the lesion is silent and required no treatment other than the tumour growth and result in compression of the adjacent structures. CT or otherwise CT myelography is helpful in evaluating the extent of the lesion for surgical planning. It is the examination of choice after plain radiographs. We would lide to present three cases that obtained CT prior to surgery in our hospital under this article.
延伸閱讀
- Chang, H. C., Lim, K. E., Hsu, Y. Y., Chan, C. Y., Kuo, H. W., & Tsai, Y. H. (2007). 原發性脊椎骨肉瘤：病例報告. 中華放射線醫學雜誌, 32(4), 217-222. https://www.airitilibrary.com/Article/Detail?DocID=10188940-200712-32-4-217-222-a
- Chen, W. J., Huang, T. J., Chen, J. Y., & Shih, C. H. (1990). 脊間孔外腰椎間盤突出病的外科治療 － 四病例報告. Journal of Orthopaedic Surgery Taiwan, 7(4), 231-236. https://www.airitilibrary.com/Article/Detail?DocID=10116923-199012-7-4-231-236-a
- Chen, S. H., Wang, H. S., Jaing, T. H., Hsueh, C., Lo, W. C., & Tseng, C. K. (2005). 原發性脊髓內間葉軟骨肉瘤：一病例報告. Acta Paediatrica Taiwanica, 46(5), 308-310. https://doi.org/10.7097/APT.200510.0308
- Lay, H. J., Chang, C. W., & Lien, I. N. (1991). 脊椎硬腦膜外出血三病例報告及文獻回顧. 中華民國復健醫學會雜誌, (19), 139-145. https://doi.org/10.6315/JRMA.199112.0139
- Metoui, L., Ajili, F., Maiza, M., Ammar, M. B., Gharsallah, I., M'sakni, I., Louzir, B., & Othmani, S. (2013). Spinal Cord Compression Revealing an Intraosseous Schwannoma. Case Reports in Medicine, 2013(), 125-128-233. https://doi.org/10.1155/2013/913218