====== Axis tumor ====== Tumors are rare in this location. Possibilities include those that involve the spine at any location. Some factors pertinent to this location: a) primary bone ● chondroma ● chondrosarcoma: rare in the craniovertebral junction. Lobulated tumors with calcified areas ● chordoma: slow-growing radioresistant malignancy ● osteochondroma (chondroma) ● osteoblastoma ● osteoid osteoma: more common in posterior elements than VB ● giant-cell tumors of bone: typically arise in adolescence. Lytic with bony collapse b) metastatic: including ● typical metastases that spread hematogenously to bone, including: breast cancer, prostate cancer, malignant melanoma, paraganglioma, renal cell carcinoma ● extension of regional tumors: nasopharyngeal tumors, craniopharyngioma c) meningioma d) neurofibroma e) miscellaneous ● plasmacytoma ● multiple myeloma ● Langerhans cell histiocytosis: osteolytic defect with progressive vertebral collapse. Occasionally occur in C2 ● Ewing’s sarcoma: malignant. Peak incidence during 2nd decade of life ● aneurysmal bone cyst