Multi Level Cervical Spine Chondroma With Subpriosteal Mass And Abscess

Chondromas are rare primary spine tumors, and few cases of chondromas located in the cervical spine have been reported in the literature up to now1. we report a case of a cervical periosteal chondroma in a 16-year-old girle presenting with progressive neck pain ,hand rdiculopathy and a syndrome of spinal cord compression since 4mounths before addmission. Magnetic resonance imaging revealed a lesion that was hypoor isointense on T1-weighted images and iso-hyperintense on T2-weighted images. Administration of Gd-DPTA resulted in margin enhancement on T1weighted images. CT scans revealed destruction of the C3 vertebral body and epidural compressing mass from C2-C4. The patient underwent a C3C4 corpectomy with complete en-block removal of the mass. The authors emphasize that early identification of the initial lesion should be coupled with total surgical resection, as a definitive treatment, in order to prevent malignant transformation and development of neurologic deficit(2).