Periosteal chondroma of the pediatric cervical spine

Case report

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Periosteal chondromas located in the spine are rare. The authors document an even more infrequent occurrence of a recurrent periosteal chondroma in the cervical spine of a 6-year-old boy. During the operation, a giant (> 7 cm in diameter) periosteal chondroma with involvement of the C-5 and C-6 vertebral bodies was resected. The vertebral column was reconstructed with anterior-posterior instrumentation. The pathological examination revealed that the tumor consisted of chondroid tissue with typical chondrocytes, confirming the diagnosis of periosteal chondroma.

Abbreviation used in this paper: VB = vertebral body.

Article Information

Address correspondence to: Andrew Jea, M.D., Division of Pediatric Neurosurgery, Department of Neurosurgery, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas 77030. email: ajea@bcm.edu.

© AANS, except where prohibited by US copyright law.

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Figures

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    Preoperative axial (left) and parasagittal (right) CT scans with contrast showing the same mass with calcifications and arising from the C-5 and C-6 VBs with intrusion into the C5–6 disc space and neural foramen.

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    Preoperative axial T2-weighted (upper) and parasagittal T1-weighted (lower) MR images obtained after Gd administration, demonstrating a large right neck mass shifting the tracheoesophageal bundle and carotid artery and internal jugular vein and related to the C-5 and C-6 VBs with near-obliteration of the vertebral artery and C-6 nerve root

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    Photomicrographs showing a well-differentiated benign cartilaginous tumor with no region of increased cellularity or mitotic activity consistent with a periosteal chondroma. H & E, original magnification × 100 (A) and × 400 (B).

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    Postoperative axial (upper) and sagittal (lower) T2-weighted MR images showing complete resection of the chondroma.

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    Cervical spine radiographs (anteroposterior [A] and lateral [B] views) at the 3-month follow-up demonstrating anterior-posterior reconstruction of the vertebral column.

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