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The Annals of Thoracic Surgery, Vol 36, 402-407, Copyright © 1983 by The Society of Thoracic Surgeons
HC Grillo, RG Ojemann, JG Scannell and NT Zervas
The unexpected finding of an extension of a neurogenic tumor from the
thorax through the spinal foramen into the neural canal complicates its
removal. Serious neurological complications may result from a two-stage
approach, whether done first through the thorax or neural canal. Vertebral
tomography or computed tomographic scanning reveals enlargement of a spinal
foramen in advance of operation. Myelography confirms the probable presence
of an intraspinal component. Four patients have been operated on using an
approach designed to allow wide posterolateral thoracotomy and concomitant
laminectomy for single-stage removal of the entire tumor. In 3 patients the
diagnosis was schwannoma and in 1, neurofibroma. All had good results.
ARTICLES
Combined approach to "dumbbell" intrathoracic and intraspinal neurogenic tumors
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