Abstract
Osteoblastoma is a benign disease usually treated with complete resection with curative
intent, and it accounts for 14% of the benign bone tumors. A more uncommon presentation
refers to a rapid growing mass known as aggressive osteoblastoma. We report the case
of a young male with cervical swelling due to a progressive mass on the right side
of neck with 3 months of evolution. Incisional biopsy demonstrated grade 3 osteoblastoma.
A radical surgical resection was attempted, but complete resection was not feasible
because of cervical invasion of C3 without spinal involvement. Despite the lack of
robust data, intensity modulated radiotherapy was performed in the ipsilateral cervical
region at a dose of 50 Gy in 25 fractions until November 2013. The patient is being
followed up regularly without evidence of recurrence since. The so far successful
treatment highlights the importance of a multidisciplinary approach for treating patients
with aggressive osteoblastoma.
Keywords
cervical vertebrae - osteoblastoma - radiotherapy - spinal neoplasms
