title: Giant cell bone tumor of the thoracic spine presenting in late pregnancy.
abstract: BACKGROUND
  We report a case of a large giant cell tumor of the thoracic spine presenting with spinal cord compression during pregnancy.
  
  
  METHODS
  A 24-year-old woman presented at term with lower back pain, bilateral lower extremity weakness, numbness, and bowel and bladder incontinence. Magnetic resonance imaging revealed a spinal soft tissue mass compressing the spinal cord. The patient delivered a healthy girl by cesarean then underwent a T8-T9 laminectomy, posterior spinal decompression, and instrument fusion. Two days later, she had a thoracotomy, corpectomy of the vertebral body, and anterior tumor debulking. Ultimately, the patient was discharged to inpatient rehabilitation with improved lower extremity strength and returned bowel and bladder function.
  
  
  CONCLUSIONS
  Obstetricians should be vigilant regarding progressive neurologic symptoms during pregnancy.
authors.affiliation: From the Department of Obstetrics and Gynecology and the Department of Neurosurgery, University of Miami, Miller School of Medicine, Miami, Florida.
authors.forename: Anupama S Q
authors.initials: ASQ
authors.lastname: Kathiresan
authors.forename: Jeremiah N
authors.initials: JN
authors.lastname: Johnson
authors.forename: Brian J
authors.initials: BJ
authors.lastname: Hood
authors.forename: Simone P
authors.initials: SP
authors.lastname: Montoya
authors.forename: Steven
authors.initials: S
authors.lastname: Vanni
authors.forename: Victor H
authors.initials: VH
authors.lastname: Gonzalez-Quintero
mesh_terms: D001859:Bone Neoplasms / Q000175:diagnosis* / Q000534:rehabilitation / Q000601:surgery; D002585:Cesarean Section; D019299:Decompression, Surgical; D005242:Fecal Incontinence / Q000175:diagnosis / Q000534:rehabilitation / Q000601:surgery; D005260:Female; D018212:Giant Cell Tumor of Bone / Q000175:diagnosis* / Q000534:rehabilitation / Q000601:surgery; D006801:Humans; D007231:Infant, Newborn; D007796:Laminectomy; D008279:Magnetic Resonance Imaging; D010291:Paresis / Q000175:diagnosis* / Q000534:rehabilitation / Q000601:surgery; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis* / Q000534:rehabilitation / Q000601:surgery; D013117:Spinal Cord Compression / Q000175:diagnosis* / Q000534:rehabilitation / Q000601:surgery; D013123:Spinal Fusion; D013908:Thoracotomy; D016896:Treatment Outcome; D014549:Urinary Incontinence / Q000175:diagnosis / Q000534:rehabilitation / Q000601:surgery; D055815:Young Adult