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KMID : 0364019940270060502
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Korean Journal of Thoracic and Cardiovascular Surgery
1994 Volume.27 No. 6 p.502 ~ p.505
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DUMBBELL Neurilemmoma -A Cases Report-
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Abstract
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Neurogenic tumors of the mediastinum may have an intraspinal component connected by a narrowed segment of tumor in the intervertebral foramen, hence the descriptive term dumbbell. Recently we had an occasion to remove a dumbbell neurilemmoma in a
62
years old woman using an approach designed to allow wide posterolateral thoracotomy and concomitant laminectomy for a single stage removal of the entire tumor.
The mass in the posterior mediastinum was discovered on routine roentgenography.
CT scan demonstrated a dumbbell shaped soft tissue mass density compressing spinal canal but preserving spinal cord.
There were no neurologic signs.
A standard posterolateral thoracotomy incision was made to remove tumor mass and then T5 unilateral laminectomy has done by Neurosurgeon.
7*7cm sized extrapleural neurilemmoma was round. Cystic. Soft mass which covered parietal pleural with invaded regional vertebrae.
There was no postoperative neurological complication. (Korean J Thoracic Cardiovas Surg 1994; 27:502-5)
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