An 11-year old girl presented with 3-month history of neck pain with no neurological deficit and showed an expansile lesion in C2. Tuberculosis of C2 was suspected and the patient improved on skeletal traction and antitubercular therapy. Three weeks later she presented with neurological deterioration. Investigations showed further destruction of C2 vertebra with cord compression. The patient was taken up for decompression and a highly vascular lesion was found. Histopathology showed Ewing's sarcoma. The patient was subjected to chemotherapy but she eventually succumbed. Tissue diagnosis is the key for malignancies that may mimic tuberculosis of spine in endemic areas. J Pediatr Orthop B 20:408-412 (C) 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins.
机构:All India Inst Med Sci, Dr Rajendra Prasad Ctr Ophthalm Sci, Oculoplast & Pediat Ophthalmol Serv, New Delhi 110029, India
Bajaj, MS
Pushker, N
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All India Inst Med Sci, Dr Rajendra Prasad Ctr Ophthalm Sci, Oculoplast & Pediat Ophthalmol Serv, New Delhi 110029, IndiaAll India Inst Med Sci, Dr Rajendra Prasad Ctr Ophthalm Sci, Oculoplast & Pediat Ophthalmol Serv, New Delhi 110029, India
Pushker, N
Sen, S
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机构:All India Inst Med Sci, Dr Rajendra Prasad Ctr Ophthalm Sci, Oculoplast & Pediat Ophthalmol Serv, New Delhi 110029, India
Sen, S
Chandra, M
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机构:All India Inst Med Sci, Dr Rajendra Prasad Ctr Ophthalm Sci, Oculoplast & Pediat Ophthalmol Serv, New Delhi 110029, India
Chandra, M
Ghose, S
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Ghose, S
Shekar, C
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机构:All India Inst Med Sci, Dr Rajendra Prasad Ctr Ophthalm Sci, Oculoplast & Pediat Ophthalmol Serv, New Delhi 110029, India
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Second Mil Med Univ, Shanghai Changzheng Hosp, Dept Orthoped, Shanghai 86200, Peoples R ChinaSecond Mil Med Univ, Shanghai Changzheng Hosp, Dept Orthoped, Shanghai 86200, Peoples R China
Zhu, Qing
Zhang, Jisheng
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Second Mil Med Univ, Shanghai Changzheng Hosp, Dept Orthoped, Shanghai 86200, Peoples R ChinaSecond Mil Med Univ, Shanghai Changzheng Hosp, Dept Orthoped, Shanghai 86200, Peoples R China
Zhang, Jisheng
Xiao, Jianru
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Second Mil Med Univ, Shanghai Changzheng Hosp, Dept Orthoped, Shanghai 86200, Peoples R ChinaSecond Mil Med Univ, Shanghai Changzheng Hosp, Dept Orthoped, Shanghai 86200, Peoples R China