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KMID : 1001920040350040436
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Journal of Korean Neurosurgical Society
2004 Volume.35 No. 4 p.436 ~ p.438
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Removal of a T_(1-2) Neurilemmoma by Lateral Parascapular Extrapleural Approach
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Kim Suk-Min
Moon Seung-Myung
Hwang Hyung-Sik
Kim Sung-Min
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Abstract
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The authors report a case of T a neurilemmoma removed by lateral parascapular extrapleural approach. A 28-yearold man was presented with smooth, well-marginated radiopaque mass in left superior mediastinum on plain chest X-ray. Magnetic resonance imaging revealed a sharply marginated isosignal lesion in the left thoracic inlet on T1 weighted image and strong enhancement on Ti enhanced image. A 15cm length hockey stick skin incision was made from C7 to Tv level. A 2 X 3cm sized orange colored soft tissue mass was detected over the pleura. The intercostal nerve, subdavian artery, and internal carotid artery were adherent with mass. After gentle dissection, the tumor was removed from nerve bundle. Pathologic examination of tumor revealed a neurilemmoma. The patient was discharged 3 weeks after operation without neurologic deficit.
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KEYWORD
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Neurilernmoma, Lateral parascapular extrapleural approach, Mediastinum
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