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Ann Thorac Surg 2005;79:1411-1412
© 2005 The Society of Thoracic Surgeons

Case report

Posterior Intrathoracic Neurinoma Cure: A Transforaminal Resection After a Thoracotomy

Jean Ader Jules, MA, MD*,a, Jose M. Guarnieri, MDb, Barbara Alkofer, MDa, Jean Philippe Le Rochais, MDa, Philippe Icard, MDa

a Department of Thoracic and Cardiovascular Surgery, Cean, France
b Department of Neurologic Surgery, Centre Hospitalier Universitaire de Caen, Caen, France

Accepted for publication October 10, 2003.

* Address reprint requests to Dr Jules, Service de Chirurgie Thoracique et Cardiovasculaire, Centre Hospitalier Universitaire de Caen, Avenue Côte de Nacre, 14033 Caen Cedex, France
jules-ja{at}chu-caen.fr
icard-p{at}chu-caen.fr

Posterior intrathoracic neurogenic tumors often have an intraforaminal extension. Ten percent have an extension intraspinal and are called "dumbbell tumors." The surgically recommended techniques used to treat these conditions may have been applied too systematically, mainly when the diameter of the foramen was obviously enlarged and the possibility of removing the tumor existed. We report two cases to stress the importance of assessing the size of the intervertebral foramina in planning neurinoma cure.






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