脊柱骨巨细胞瘤二例报道  

A report of 2 cases of giant cell tumor in spine

作　　者：丁文元[1] 王辉[1] 

机构地区：[1]河北医科大学第三医院脊柱外科,石家庄050051

出　　处：《中国骨与关节杂志》2012年第3期322-324,共3页Chinese Journal of Bone and Joint

摘　　要：临床资料 患者1,男,57岁,于2010年2月无明确诱因出现颈项区疼痛,夜间为重.入院查体：颈椎前屈后伸及左右侧屈明显受限,颈后压痛、叩痛阳性,无放射痛,四肢各肌群肌力V级,肌张力不高,四肢深、浅反射正常存在,双侧Hoffmann征（-）,双侧Babinski＇s征（-）.Giant Cell Tumor （GCT） is an invasive lesion with potential malignant change, which accounts for the second position of benigh bone tumors. The age of commonly onset is between 20 to 40 years old. No obvious sexual difference exists. It mainly occurs in epiphysis of long bone in limbs. Spinal GCT is rare. Complete vertebrectomy is considered to be the major measure to reduce the recurrence of tumors. Incomplete vertebrectomy was conducted in 1 patient with GCT in cervical vertebra. Complete vertebrectomy was conducted in 1 patient with GCT in thoracic vertebra. Based on follow-up after the surgery, pain was significantly relieved and no recurrence was observed.

关 键 词：脊柱骨巨细胞瘤 HOFFMANN征 临床资料 入院查体 四肢深 颈项区 放射痛 肌张力 

分 类 号：R738.1[医药卫生—肿瘤]