Pigmentierte villonoduläre Synovitis der thorakalen Wirbelsäule – operatives Langzeitergebnis: ein Fallbericht

Zusammenfassung

Spinale diffuse Riesenzelltumoren (auch als pigmentierte villonoduläre Synovitis bekannt [PVNS]) sind benigne. Obwohl das Auftreten an der thorakalen Wirbelsäule sehr selten ist, sollte es dennoch differenzialdiagnostisch in Betracht gezogen werden. Wir berichten über den Fall eines 35-jährigen Patienten, bei dem eine expansiv in den Spinalkanal von C7-Th2, intraspinal das Rückenmark komprimierend wachsende Raumforderung mit osteolytischen Veränderungen operativ behandelt wurde. Die histopathologische Diagnose war eine PVNS. In der 2-Jahres-Kontrolle war der Patient beschwerdefrei und es zeigt sich bildmorphologisch kein Anhalt auf einen Rezidivtumor.

Abstract

Spinal diffuse-type giant cell tumours (also known as pigmented villonodular synovitis [PVNS]) are benign. Their occurrence in the thoracic spine is a very rare entity, nevertheless it should be considered in the differential diagnosis. We report about the case of a 35-year-old male presenting with an osteolytic and expansive mass compressing the spinal cord from C7 to Th2. Surgical resection was performed. Histopathological diagnosis was PVNS. 2 years postoperatively the patient was without pain and fully reintegrated in his previous job as a physician.

Riesenzelltumor - thorakale Wirbelsäule - pigmentierte villonoduläre Synovitis

giant cell tumour - thoracic spine - pigmented villonodular synovitis

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