Giant cell tumor of the dorsal vertebrae. Case report

Introduction: Giant cell tumors are rarely observed in the thoracic vertebrae. They appear between the ages of 20 and 50, more often in women. The purpose of this case report is to make known the clinical characteristics, the presentation and the treatment used to solve this pathology. Case presen...

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Main Authors: Lúver Alexi Macías-Jara, Kelly Palacios-Silva, Fernando Polit-Zambrano, Enrique Gagliardo-Cadena, Betsy Macías-Jara
Format: Article
Language:English
Published: Universidad Nacional de Colombia 2019-01-01
Series:Case Reports
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Online Access:https://revistas.unal.edu.co/index.php/care/article/view/75276
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author Lúver Alexi Macías-Jara
Kelly Palacios-Silva
Fernando Polit-Zambrano
Enrique Gagliardo-Cadena
Betsy Macías-Jara
author_facet Lúver Alexi Macías-Jara
Kelly Palacios-Silva
Fernando Polit-Zambrano
Enrique Gagliardo-Cadena
Betsy Macías-Jara
author_sort Lúver Alexi Macías-Jara
collection DOAJ
description Introduction: Giant cell tumors are rarely observed in the thoracic vertebrae. They appear between the ages of 20 and 50, more often in women. The purpose of this case report is to make known the clinical characteristics, the presentation and the treatment used to solve this pathology. Case presentation: 37-year-old female patient who presented a clinical picture of seven days of dyspnea, cough with white expectoration, high temperature, paraparesis, loss of control in the sphincters and weight loss. High-resolution computed tomography of the thorax showed a right paraspinal mass located in posterior mediastinum at T8-T9 level. Surgical excision of the tumor was decided by right posterolateral thoracotomy at the seventh intercostal space and free surgical margins. The histopathology report described giant cell tumor grade II. The patient did not require chemotherapy and had a satisfactory evolution. Discussion: This case has a non-specific presentation, as it shows evidence of pain, tumor and functional impotence of the involved region. Surgery is the best treatment and consists of tumor excision, leaving wide margins to prevent recurrences. Conclusions: Giant cell tumors involving the lungs and thoracic vertebrae are underdiagnosed due to their nonspecific symptoms and the limited literature currently available.
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publishDate 2019-01-01
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spelling doaj-art-715014a34af24f49b9f5981bc0fc55a42025-08-20T01:52:42ZengUniversidad Nacional de ColombiaCase Reports2462-85222019-01-015110.15446/cr.v5n1.7527650175Giant cell tumor of the dorsal vertebrae. Case reportLúver Alexi Macías-Jarahttps://orcid.org/0000-0003-3714-5492Kelly Palacios-Silvahttps://orcid.org/0000-0002-8988-6092Fernando Polit-Zambranohttps://orcid.org/0000-0002-1361-308XEnrique Gagliardo-Cadenahttps://orcid.org/0000-0003-1134-4784Betsy Macías-Jarahttps://orcid.org/0000-0003-0146-9575 Introduction: Giant cell tumors are rarely observed in the thoracic vertebrae. They appear between the ages of 20 and 50, more often in women. The purpose of this case report is to make known the clinical characteristics, the presentation and the treatment used to solve this pathology. Case presentation: 37-year-old female patient who presented a clinical picture of seven days of dyspnea, cough with white expectoration, high temperature, paraparesis, loss of control in the sphincters and weight loss. High-resolution computed tomography of the thorax showed a right paraspinal mass located in posterior mediastinum at T8-T9 level. Surgical excision of the tumor was decided by right posterolateral thoracotomy at the seventh intercostal space and free surgical margins. The histopathology report described giant cell tumor grade II. The patient did not require chemotherapy and had a satisfactory evolution. Discussion: This case has a non-specific presentation, as it shows evidence of pain, tumor and functional impotence of the involved region. Surgery is the best treatment and consists of tumor excision, leaving wide margins to prevent recurrences. Conclusions: Giant cell tumors involving the lungs and thoracic vertebrae are underdiagnosed due to their nonspecific symptoms and the limited literature currently available.https://revistas.unal.edu.co/index.php/care/article/view/75276CarcinomaGiant CellDyspneaThoraxLung Neoplasms.
spellingShingle Lúver Alexi Macías-Jara
Kelly Palacios-Silva
Fernando Polit-Zambrano
Enrique Gagliardo-Cadena
Betsy Macías-Jara
Giant cell tumor of the dorsal vertebrae. Case report
Case Reports
Carcinoma
Giant Cell
Dyspnea
Thorax
Lung Neoplasms.
title Giant cell tumor of the dorsal vertebrae. Case report
title_full Giant cell tumor of the dorsal vertebrae. Case report
title_fullStr Giant cell tumor of the dorsal vertebrae. Case report
title_full_unstemmed Giant cell tumor of the dorsal vertebrae. Case report
title_short Giant cell tumor of the dorsal vertebrae. Case report
title_sort giant cell tumor of the dorsal vertebrae case report
topic Carcinoma
Giant Cell
Dyspnea
Thorax
Lung Neoplasms.
url https://revistas.unal.edu.co/index.php/care/article/view/75276
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AT fernandopolitzambrano giantcelltumorofthedorsalvertebraecasereport
AT enriquegagliardocadena giantcelltumorofthedorsalvertebraecasereport
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