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- Talk
Primary Spine Tumours: General Principles for Diagnosis, Treatment and Long-term Follow-up from the Paediatric to the Adult Patient
Description
In this symposium, led by Andrew Glennie, the focus is on the management challenges posed by primary tumors in the spine. The setting is the COA's first virtual meeting, where Glennie introduces a case study of a 42-year-old piano mover who presents with a palpable mass over the thoraco-lumbar junction, which has grown over the past year. The patient exhibits no weakness or distal paresthesias, with a normal examination except for the visible mass. Initial imaging is shared with the attendees, including plain film and selected CT cuts, followed by MRI scans to allow for interpretation.
The case evolves as the patient undergoes an intralesional resection for what is presumed to be an osteochondroma, but the pathology report raises concerns about a low-grade chondrosarcoma that cannot be excluded, prompting discussion on the management of such cases. Glennie emphasizes the importance of critical evaluation and invites panelists to share their insights after the presentation of the case. The symposium features speakers from various locations, including Stephon Parole from Montreal, Peter Laconia from Calgary, and Rafael Shine from Whistler.