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Periosteal chondroma with spinal cord compression in the thoracic spinal canal: a case report

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Abstract

Periosteal chondroma is a very unusual cartilaginous neoplasm of the spinal canal. We herein report a case of periosteal chondroma in a 41-year-old male who presented with gait disturbance and paresthesia of both lower extremities. Magnetic resonance (MR) images showed an extradural mass which caused compression of the spinal cord at the T5/6 level. The mass showed iso-signal intensity on T1-weighted images, high signal intensity on T2-weighted images, and nodular and peripheral rim enhancement on post-contrast T1-weighted images. Computed tomography (CT) images showed a mass with punctate calcifications and extension into the left T5/6 neural foramen. MR and CT images showed extrinsic cortical bone erosion of the posterior inferior body of T5 and superior pedicle of T6, bone remodeling with overhanging margins, and sclerosis adjacent to the tumor. The patient underwent a complete excision of the mass by left T5/6 hemi-laminectomy and exhibited complete resolution of his symptoms. Histopathologic examination revealed periosteal chondroma. Tumor recurrence was not recorded during the 18-month follow-up period.

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Acknowledgments

We express our sincere gratitude to Bonnie Hami of the Department of Radiology, University Hospitals of Cleveland, for her editorial assistance in the preparation of this manuscript.

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Authors and Affiliations

  1. Department of Radiology, University of Ulsan College of Medicine, Ulsan University Hospital, 877 Bangeojinsunhwan-doro, Dong-gu, Ulsan, 44033, Korea

    Dong Hyeok Kang, Byeong Seong Kang & Woon Jung Kwon

  2. Department of Neurosurgery, University of Ulsan College of Medicine, Ulsan University Hospital, Ulsan, Korea

    Hong Bo Sim

  3. Department of Pathology, University of Ulsan College of Medicine, Ulsan University Hospital, Ulsan, Korea

    Misung Kim

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  1. Dong Hyeok Kang
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  2. Byeong Seong Kang
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Correspondence to Byeong Seong Kang.

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Kang, D.H., Kang, B.S., Sim, H.B. et al. Periosteal chondroma with spinal cord compression in the thoracic spinal canal: a case report. Skeletal Radiol 45, 1133–1137 (2016). https://doi.org/10.1007/s00256-016-2406-7

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  • DOI: https://doi.org/10.1007/s00256-016-2406-7

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