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Spinale Tumoren

Spinal tumors

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Zusammenfassung

Spinale Tumoren können intramedullär, innerhalb der Meningen (intradural), zwischen Meningen und Knochen (extradural) auftreten oder von anderen Lokalisationen sekundär zu einer Beteiligung der Wirbelsäule führen. Das Wirbelkörperhämangiom ist der häufigste gutartige Tumor der Wirbelsäule. Zu den häufigsten malignen spinalen Tumoren gehören Metastasen, das Lymphom und das multiple Myelom. Primäre Knochentumoren der Wirbelsäule sind im Vergleich dazu eher selten und zeigen auch oft charakteristische Bildbefunde. Für die Differenzialdiagnostik spielen das Patientenalter, die Lokalisation des Tumors und die magnetresonanz- und computertomographischen Befunde eine wichtige Rolle.

Abstract

Spinal tumors can be intramedullary, intradural (within the meninges), or extradural (between the meninges and the bones), or they may extend secondary to the spine from other locations. Vertebral hemangioma represents the most common benign tumor of the spine. Metastases, lymphoma, and multiple myeloma are the most frequent malignant spinal tumors. Primary osseous tumors of the spine, in contrast, are rare conditions but may demonstrate typical imaging findings. For the differential diagnosis, the patient’s age, the topographic localization of the mass, and morphologic features of the lesion as depicted by computed tomography and magnetic resonance imaging play important roles.

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Authors and Affiliations

  1. Klinik für Diagnostische and Interventionelle Neuroradiologie, Radiologische Kliniken, Universitätsklinkum des Saarlandes, 66421, Homburg, Saar, Deutschland

    F.J. Ahlhelm & W. Reith

  2. Klinik für Diagnostische and Interventionelle Radiologie, Radiologische Kliniken, Universitätsklinkum des Saarlandes, Homburg, Saar, Deutschland

    P. Fries

  3. Klinik für Allgemeine und Spezielle Neurochirurgie, Universitätsklinikum des Saarlandes, Homburg, Saar, Deutschland

    A. Nabhan

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  1. F.J. Ahlhelm
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  2. P. Fries
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  3. A. Nabhan
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  4. W. Reith
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Correspondence to F.J. Ahlhelm.

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Ahlhelm, F., Fries, P., Nabhan, A. et al. Spinale Tumoren. Radiologe 50, 165–180 (2010). https://doi.org/10.1007/s00117-009-1841-z

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  • DOI: https://doi.org/10.1007/s00117-009-1841-z

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