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Giant-cell tumor of the rib cage extending to the spine

Case report

Riesenzelltumor im Brustkorb mit Ausdehnung zur Wirbelsäule

Fallbericht

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Abstract

Purpose

We present the case of a patient with a giant cell tumor of the thoracic wall that invaded the thoracic spine.

Material and methods

A giant cell tumor that affects the spine and the thoracic wall is very rare but can grow to a large size. We report a case of giant cell tumor of the left chest wall extending to the thoracic spine in a 28-year-old man. Positron emission tomography (PET) showed a tumor of 11 × 4 × 13 cm in size and the histopathology specimen of the first surgical procedure diagnosed a giant cell tumor. The tumor was treated by oblique osteotomy guided with pedicle wires.

Results

A giant cell tumor was histologically confirmed following radical surgery. After 1 year of follow-up the patient was asymptomatic. There has been no recurrence of the tumor.

Conclusion

The use of transpedicular Kirschner wires could be a good technical support for transpedicular oblique sagittal osteotomy.

Zusammenfassung

Zweck

Wir präsentieren den Fall eines Patienten mit einem Riesenzelltumor in der Thoraxwand, welcher in die Brustwirbelsäule eingedrungen ist.

Material und Methoden

Ein Riesenzelltumor, der die Wirbelsäule und die Thoraxwand betrifft, kommt äußerst selten vor, kann aber sehr groß werden. Wir berichten über den Fall eines Riesenzelltumors in der rechten Brustkorbwand eines 28-jährigen Patienten, der sich bis zur Brustwirbelsäule hin ausbreitete. Die Positronenemissionstomographie (PET) zeigte einen Tumor mit einer Größe von 11 × 4 × 13 cm, und mittels der histopathologischen Proben des ersten chirurgischen Eingriffs wurde ein Riesenzelltumor diagnostiziert. Der Tumor wurde mit einer schrägen Osteotomie unter Verwendung von Pedikeldrähten behandelt.

Ergebnisse

Ein Riesenzelltumor wurde nach einer radikalen Operation histologisch bestätigt. Nach 1 Jahr Follow-up war der Patient asymptomatisch. Es trat kein Tumorrezidiv auf.

Schlussfolgerung

Die Verwendung von Kirschner-Drähten könnte eine sinnvolle technische Unterstützung für die transpedikuläre schräge sagittale Osteotomie darstellen.

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Abbreviations

CT:

Computed tomography

PET:

Positron emission tomography

PRBC:

Packed red blood cells

TOSO:

Transpedicular oblique sagittal osteotomy

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Authors and Affiliations

  1. IBSAL Salamanca, University Hospital of Salamanca, Salamanca, Spain

    Juan Francisco Blanco PhD, MD, Marcelo Jiménez PhD, MD, Diego Rendón MD & David Pescador PhD, MD

  2. IRCCS Fondazione Don Carlo Gnocchi, Milan, Italy

    Jorge Hugo Villafañe PhD

  3. Neurosurgery Neuroscience department, University of Turin, Turin, Italy

    Diego Garbossa PhD, MD

  4. IRCCS Istituto Ortopedico Galeazzi, Milan, Italy

    Pedro Berjano PhD, MD

Authors
  1. Juan Francisco Blanco PhD, MD
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  2. Marcelo Jiménez PhD, MD
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  3. Diego Rendón MD
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  4. David Pescador PhD, MD
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  5. Jorge Hugo Villafañe PhD
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  6. Diego Garbossa PhD, MD
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  7. Pedro Berjano PhD, MD
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Corresponding author

Correspondence to Jorge Hugo Villafañe PhD.

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Conflict of interest

J.F. Blanco, M. Jiménez, D. Rendón, D. Pescador, J.H. Villafañe, D. Garbossa and P. Berjano declare that they have no competing interests.

This article does not contain any studies with human participants or animals performed by any of the authors. Consent was obtained from all patients identifiable from images or other information within the manuscript. In the case of underage patients, consent was obtained from a parent or legal guardian.

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Author contributions.

Conception and design, acquisition of data, analysis and interpretation of data: all authors. Drafting the article or revising it critically for important intellectual content: all authors. Final approval of the version to be published by all authors.

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Blanco, J.F., Jiménez, M., Rendón, D. et al. Giant-cell tumor of the rib cage extending to the spine. Orthopäde 47, 437–441 (2018). https://doi.org/10.1007/s00132-018-3554-3

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  • DOI: https://doi.org/10.1007/s00132-018-3554-3

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