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Child's Nervous System
Published in: Child's Nervous System 3/2019

01-03-2019 | Case Report

Giant cell tumor of the eleventh thoracic vertebra in a pediatric patient: an interesting case report and comprehensive literature review

Authors: Kadir Oktay, Ebru Guzel, Serkan Simsek, Aslan Guzel

Published in: Child's Nervous System | Issue 3/2019

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Abstract

Introduction

Giant cell tumors of the mobile spinal column are very rare tumors, especially in the pediatric age group. Although they are benign tumors, they have locally aggressive growth pattern and high risk of recurrence.

Case presentation

We report a 15-year-old female patient with thoracic giant cell tumor who underwent percutaneous vertebroplasty and had cement extravasation into the spinal canal. Because of the deterioration of the patient’s neurological condition, total enbloc spondylectomy and cement excision were performed. She underwent instrumentation and fusion procedures in order to prevent spinal instability.

Conclusion

The main purpose of the treatment is gross total resection of the giant cell tumor. However, adjuvant methods such as denosumab should be added to the treatment protocol in patients who are older than 2 years old and can not undergo gross total resection due to tumor size and anatomic localization.
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Metadata
Title
Giant cell tumor of the eleventh thoracic vertebra in a pediatric patient: an interesting case report and comprehensive literature review
Authors
Kadir Oktay
Ebru Guzel
Serkan Simsek
Aslan Guzel
Publication date
01-03-2019
Publisher
Springer Berlin Heidelberg
Published in
Child's Nervous System / Issue 3/2019
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-018-3980-x

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