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Pediatric giant cell tumor of the tendon sheath of the craniocervical junction involving the occipital condyle

Authors
 Jin Mo Cho  ;  Jong Hee Chang  ;  Sun Ho Kim  ;  Kyu Sung Lee 
Citation
 CHILDS NERVOUS SYSTEM, Vol.32(1) : 175-179, 2016 
Journal Title
CHILDS NERVOUS SYSTEM
ISSN
 0256-7040 
Issue Date
2016
MeSH
Adolescent ; Female ; Giant Cell Tumors/complications* ; Humans ; Magnetic Resonance Imaging ; Synovitis, Pigmented Villonodular/etiology* ; Tendons/pathology* ; Trauma, Nervous System/etiology*
Keywords
Craniocervical ; Giant cell tumor of the tendon sheath ; Occipital condyle ; Pigmented villonodular synovitis
Abstract
INTRODUCTION: Giant cell tumor of the tendon sheath (GCTTS), also called pigmented villonodular synovitis, is a common lesion of the synovial membrane of the hand joint, but it uncommonly involves the axial skeleton, especially in pediatric populations. Furthermore, GCTTS originating from the occipital condyle has not been reported previously.
CASE REPORT: A 15-year-old girl presented with a palpable neck mass for 1 year, and imaging studies revealed a less demarcated and heterogeneously enhanced mass in the suboccipital region. The tumor was originating from the occipital condyle that eroded the skull and atlas, and it was completely resected via a far lateral transcondylar approach followed by transarticular screw fixation. After the resection, we performed occipitocervical fusion to prevent spinal instability. The patient made an uneventful recovery after surgery. Recurrence has not been observed after 5 years of follow-up.
DISCUSSION: We report this rare case and briefly review the general features and unusual locations of GCTTS with recommendations for treatment modalities.
Full Text
http://link.springer.com/article/10.1007/s00381-015-2820-5
DOI
10.1007/s00381-015-2820-5
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Sun Ho(김선호) ORCID logo https://orcid.org/0000-0003-0970-3848
Lee, Kyu Sung(이규성)
Chang, Jong Hee(장종희) ORCID logo https://orcid.org/0000-0003-1509-9800
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/146318
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