Sarcopedia

BenignBone

Benign Notochordal Cell Tumour

Synonyms: BNCT, Benign notochordal remnant

Benign notochordal remnant

Quick Facts

Behaviour

Benign

Category

Bone

Synonyms

  • BNCT
  • Benign notochordal remnant

Category

Bone

Behaviour

Benign

Gender

M = F

Tissue of Origin

Other

Epidemiology

  • Benign notochordal remnant
  • Found incidentally on imaging
  • Clival and sacral regions

Clinical Features

  • Usually asymptomatic
  • Incidental finding

Location

  • Clivus (basisphenoid)
  • Sacrum
  • Spine midline

Imaging

  • CT: well-defined lytic lesion
  • MRI: T1 Low, T2 bright

Pathology

  • Benign notochordal epithelium
  • No Malignant features

Genetics

Developmental anomaly

Treatment

  • Observation is standard
  • Excision only if symptomatic

Prognosis

  • Excellent - recurrence after excision is rare
  • No malignant potential

Key Points

  • Benign notochordal remnant
  • Observation appropriate

Workup - Blood Tests

No blood tests required

Workup - Local Imaging

  • CT
  • MRI with contrast

Workup - Biopsy

Biopsy if malignancy concern

Workup - Staging

No staging required

Follow-up Summary

  1. 1

    No specific follow-up is required

Medical disclaimer

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