J Korean Bone Joint Tumor Soc.  2012 Jun;18(1):32-36. 10.5292/jkbjts.2012.18.1.32.

Dysphagia Caused by Osteochondroma of the Cervical Vertebral Body: A Case Report

• Min HJ
• Kim JS
• Kim JH

• KMID: 1438407
• DOI: http://doi.org/10.5292/jkbjts.2012.18.1.32

Abstract

A 56 year-old female presented with dysphagia 8 weeks ago and newly developed dysphonia 2 weeks ago. The radiology study and swallowing difficulty evaluation study revealed the esophagus and the posterior wall of the laryngopharynx to be severely compressed by the mass of the anterior 4th and 5th vertebral body of cervical spine. En bloc excisional biopsy of the bony mass was performed, which completely resolved the clinical symptoms. We report a rare case of osteochondroma occurring at the anterior portion of cervical spine leading to dysphasia and dysphonia with a review of relevant literature.

Keyword

cervical spine; osteochondroma

MeSH Terms

Aphasia
Biopsy
Deglutition
Deglutition Disorders
Dysphonia
Esophagus
Female
Humans
Hypopharynx
Osteochondroma
Spine

Figure

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  Figure 1 Radiographs of the cervical spine, anteroposterior (A) and lateral (B) view shows sclerotic and amorphous bony mass contained irregular bony trabeculae in the anterior 4th and 5th vertebral body of cervical spine.

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  Figure 2 CT scan images, sagittal image (A) shows an ossification from the C4 level to C5 level. Axial image (B) shows that the mass was developed on vertebral body of the 5th cervical vertebrae.

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  Figure 3 (A) Preoperative Gd-enhanced sagittal MRI demonstrated that the mass shows high signal intensity on C4-5 level. (B) Low signal intensity change of C4-5 mass shows on T2-weighted sagittal MRI. (C) Preoperative Gd-enhanced axial MRI of C3-4 mass shows heterogeneous signal intensity.

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  Figure 4 Photograph of excised tumor shows about 1.3×2.5×4.0 cm sized mass covering with cartilage layer.

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  Figure 5 Histopathologic examination shows the mature bone covered by a well differentiated cartilaginous cap (H&E, ×12.5).

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  Figure 6 Postoperative radiographs of the cervical spine, anteroposterior (A) and lateral (B) view shows removal of entire bony mass on vertebral body of the 5th cervical vertebrae.

Reference

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