CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo)
DOI: 10.1055/s-0041-1739300
Relato de Caso

Recurrent Aggressive Osteoblastoma of the Cervical Spine Successfully Treated with Radiotherapy

Article in several languages: português | English
1   Instituto de Oncologia Kaplan, Porto Alegre, RS, Brasil
,
1   Instituto de Oncologia Kaplan, Porto Alegre, RS, Brasil
,
2   Hospital Ernesto Dornelles, Porto Alegre, RS, Brasil
,
2   Hospital Ernesto Dornelles, Porto Alegre, RS, Brasil
,
2   Hospital Ernesto Dornelles, Porto Alegre, RS, Brasil
,
3   Vitta Centro Avançado de Radioterapia, Porto Alegre, RS, Brasil
› Author Affiliations

Abstract

Osteoblastoma is a benign disease usually treated with complete resection with curative intent, and it accounts for 14% of the benign bone tumors. A more uncommon presentation refers to a rapid growing mass known as aggressive osteoblastoma. We report the case of a young male with cervical swelling due to a progressive mass on the right side of neck with 3 months of evolution. Incisional biopsy demonstrated grade 3 osteoblastoma. A radical surgical resection was attempted, but complete resection was not feasible because of cervical invasion of C3 without spinal involvement. Despite the lack of robust data, intensity modulated radiotherapy was performed in the ipsilateral cervical region at a dose of 50 Gy in 25 fractions until November 2013. The patient is being followed up regularly without evidence of recurrence since. The so far successful treatment highlights the importance of a multidisciplinary approach for treating patients with aggressive osteoblastoma.

Note

Work developed at the Instituto de Oncologia Kaplan, Porto Alegre, RS, Brazil.


Financial Disclosure

Without financial support. All costs for the collection, analysis, interpretation of results, and writing were provided exclusively by the authors.




Publication History

Received: 25 May 2021

Accepted: 31 August 2021

Article published online:
16 November 2021

© 2021. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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