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KMID : 0364019900230030556
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Korean Journal of Thoracic and Cardiovascular Surgery
1990 Volume.23 No. 3 p.556 ~ p.560
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"DUMBBELL" Neurilemmoma
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박영환/PARK, Y.H.
이건우/김범식/노태훈/성우현/윤수한/Lee, K.W./Kim, B.S./Rho, T.H./Sung, W.H./Yun, S.H.
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Abstract
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A 22 year old soldier was discovered on routine study for discharge to have a mass in the posterior mediastinum. He was admitted due to high fever and improved by antibiotic treatment for 2 weeks. Chest PA, apicogram, myelogram and CT scan demonstrated enlargement of the neural foramen at the TI level with erosion of the posterior aspect of the vertebral body and the pedicle contigious with the intrathoracic mass. A myelogram showed a large extradural defect at the TI level-on the left. There were no clinical signs of cord compression.
A standard posterolateral thoracotomy incision was made with extension to high thoracic vertebra. The 3rd rib was resected and the angles of the posterior portion of Ist and 2nd ribs were tutted and rib heads were removed. Extrapleural neurilemmoma 6X6 cm was resected intrathoracically. And after removal of the pedicle and the lamina, intraspinal extradural mass 3X2 cm was resected carefully with trivial tearing of the dura which was sealed with gel-foam and pleura.
There was mo postoperative neurological complication.
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KEYWORD
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