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Year : 2022  |  Volume : 70  |  Issue : 2  |  Page : 764--766

Localized Giant Cell Tumor of the Tendon Sheath of the Upper Cervical Spine: A Case Report

1 Department of Neurosurgery, West China Hospital, Sichuan University, Ghana
2 Department of Pathology, West China Hospital, Sichuan University, China
3 Department of Medicine, Princefield University, Ghana

Correspondence Address:
Dr. Siqing Huang
No 37, Guo Xue Xiang, Chengdu . 610041, Sichuan Province
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0028-3886.344600

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Introduction: Giant cell tumor of the tendon sheath (GCTTS) is commonly seen in the appendicular skeleton, and rarely arises from the axial skeleton. We describe a rare case of GCTTS in an adolescent in the upper cervical spine. Case Presentation: A previously healthy 16-year-old boy presented with a 6-month history of numbness of right upper extremity, and had experienced a neck pain 4 months ago. Spinal MRI demonstrated a small syrinx at C2 level and a well-circumscribed extradural mass with contrast enhancement extending from the posterior arch of C1 to C2. The extradural mass was totally resected, and the syrinx underwent clinical and imaging surveillance. Discussion: GCTTS should be considered in the differential diagnosis of the axial skeletal lesion although very rare. Gross-total resection is advocated in GCTTS of the upper cervical spine, and subtotal resection with meticulous lesion monitoring should be performed in unresectable cases.


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Online since 20th March '04
Published by Wolters Kluwer - Medknow