Giant cell tumor of dorsal vertebral body
A 30-year-old female patient presented with complaints of backache, progressive weakness of both lower limbs and bladder and bowel incontinence of 4 months duration. On examination, she had tenderness over lower dorsal region and power of grade 2-3 in the right lower limb and grade 1-2 in the left lower limb. Magnetic resonance imaging (MRI) was suggestive of osteolytic lesion involving tenth dorsal vertebral body and left neural arch with extension into posterior mediastinal space []. A thin rim of anterior vertebral body was spared [] and there was marked anterior compression on the dorsal cord from the tumor mass. Left anterolateral approach with excision of left tenth rib was used to excise the soft moderately vascular osteolytic tumor. Reconstruction was done using expandable cage and pedicular screw and rod fixation in ninth and eleventh dorsal vertebrae [Figures ]. Histopathological examination of the tumor was suggestive of GCT [Figures ]. Patient improved in power in both lower limbs after surgery. Radiation therapy was not given in the present case due to fear of osteoradionecrosis and myelitis. After more than 1 year of follow-up patient is doing well without any evidence of local and distant tumor recurrence.