UNASSIGNED: A 20-year-old male presented with neck pain for a 4-month duration. Six years previously, he had received six cycles of vinblastine for biopsy-proven histiocytosis of an axillary lymph node; this resulted in incomplete remission. Present magnetic resonance/computed tomography (CT) imaging revealed a lytic C2 body lesion with atlantoaxial instability. When the CT-guided biopsy was suggestive of EG, he was managed with definitive surgery and adjuvant radiotherapy.
UNASSIGNED: Cervical spine EG is rare in adults. CT-guided biopsy should confirm the diagnosis and should be followed by definitive surgery and adjuvant radiotherapy.
■一名20岁男性出现颈部疼痛4个月。六年前,他接受了6个周期的长春碱治疗腋窝淋巴结活检证实的组织细胞增生症;这导致了不完全缓解。目前的磁共振/计算机断层扫描(CT)成像显示,具有寰枢椎不稳定性的溶解性C2身体病变。当CT引导活检提示EG时,他接受了明确的手术和辅助放疗。
■颈椎EG在成人中很少见。CT引导下活检应明确诊断,并应进行明确的手术和辅助放疗。