85 / 96
S
pinal
tumors
in
children
R
ev
A
ssoc
M
ed
B
ras
2017; 63(5):459-465
465
Resultados:
A utilização de exames radiológicos combi-
nados (radiografias, tomografia computadorizada com
reconstrução em 3D e ressonância magnética) é necessá-
ria para avaliação adequada e diagnóstico diferencial
dessas lesões. Em casos selecionados, exames de medicina
nuclear aumentam as chances do diagnóstico preciso.
Como regra geral, biópsia por agulha é recomendada para
confirmação da histologia tumoral e tratamento subse-
quente. As lesões primárias de coluna podem ser benignas,
representadas principalmente pelos hemangiomas, os-
teomas osteoides, osteoblastomas, cistos ósseos aneuris-
máticos e granulomas eosinofílicos, enquanto as lesões
malignas são geralmente representadas por tumores
agressivos, como o sarcoma de Ewing ou os sarcomas
osteogênicos. Metástases de coluna podem ter diferentes
etiologias, sendo o tratamento dependente principalmen-
te da radiossensibilidade do tumor de origem. As opções
de tratamento dessas lesões são descritas em detalhes.
Conclusão:
Tumores de coluna em crianças são raros e
o seu manejo requer um conhecimento amplo e variado
das diferentes possibilidades diagnósticas. Conhecer os
nuances envolvidos no tratamento dessas lesões e os sin-
tomas iniciais é fundamental para melhorar o prognós-
tico e as chances de cura.
Palavras-chave:
tumores da coluna, criança, adolescente,
manejo, tratamento, coluna.
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