La radiologia medica

, Volume 119, Issue 9, pp 681–693 | Cite as

Giant cell tumours of the mobile spine: characteristic imaging features and differential diagnosis

  • Ming-Jue Si
  • Chen-Guang Wang
  • Cheng-Sheng Wang
  • Lian-Jun Du
  • Xiao-Yi Ding
  • Wei-Bin Zhang
  • Yong Lu
  • Jin-Yan Zu
Musculoskeletal Radiology

Abstract

Purpose

The aim of this study was to investigate the characteristic imaging features of giant cell tumours (GCTs) of the mobile spine.

Materials and methods

Thirty pathologically proven GCTs of the mobile spine were reviewed. X-ray (n = 18), computed tomography (CT) (n = 24) and magnetic resonance (MR) (n = 21) images were retrospectively evaluated.

Results

Five tumours were located in the cervical spine, 15 tumours were located in the thoracic spine and 10 tumours in the lumbar spine. The characteristic X-ray findings included an osteolytic and expansile lesion with a “soap bubble” or purely lytic appearance. Cortical destruction was commonly seen. Margin sclerosis was seen in two lesions. No mineralised tumour matrix or periosteal reaction appeared. The CT findings were similar but outlined the cortical alterations in a more accurate way. The characteristic MR findings included a well-defined and expansile mass with heterogeneous low-to-iso signal intensity on T2-weighted images. Cystic areas were commonly seen in 17 cases. Five cases presented fluid–fluid levels, suggesting the development of aneurysmal bone cyst. The solid portions of the tumours were enhanced with a very heterogeneous signal pattern reflecting high blood supply after contrast-enhanced scan. Tumour involvement in the epidural space occurred in 12 cases, causing spinal cord and/or nerve root compression. Involvement of intervertebral discs and/or adjacent vertebrae appeared in two cases.

Conclusions

Although rare, GCT can occur in the mobile spine as a kind of benign but locally aggressive tumour. Radiologists should be familiar with its characteristic imaging features in order to make a correct diagnosis and to help preoperative evaluations.

Keywords

Giant cell tumours Mobile spine Radiograph CT MRI 

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Copyright information

© Italian Society of Medical Radiology 2014

Authors and Affiliations

  • Ming-Jue Si
    • 1
  • Chen-Guang Wang
    • 3
  • Cheng-Sheng Wang
    • 1
  • Lian-Jun Du
    • 1
  • Xiao-Yi Ding
    • 1
  • Wei-Bin Zhang
    • 2
  • Yong Lu
    • 1
  • Jin-Yan Zu
    • 3
  1. 1.Department of RadiologyRuijin Hospital, Shanghai Jiao Tong University School of MedicineShanghaiChina
  2. 2.Department of OrthopedicsRuijin Hospital, Shanghai Jiao Tong University School of MedicineShanghaiChina
  3. 3.Department of RadiologyShanghai Changzheng Hospital, Second Military Medical UniversityShanghaiChina

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