Giant schwannoma of thoracic vertebra: A case report  

作　　者：Yu Zhou Chao-Zong Liu Shan-Yong Zhang Hao-Yu Wang Swastina Nath Varma Lan-Qing Cao Ting-Ting Hou Xin Li Bao-Jin Yao 

机构地区：[1]College of Traditional Chinese Medicine,Changchun University of Chinese Medicine,Changchun 130000,Jilin Province,China [2]Division of Surgery and Interventional Science,University College London,Royal National Orthopaedic Hospital,London Stanmore HA74LP,United Kingdom [3]Department of Spinal Surgery,The Second Affiliated Hospital of Jilin University,Changchun 130000,Jilin Province,China [4]Department of Pathology,The Second Affiliated Hospital of Jilin University,Changchun 130041,Jilin Province,China [5]Jilin Ginseng Academy,Changchun University of Chinese Medicine,Changchun 130000,Jilin Province,China

出　　处：《World Journal of Clinical Cases》2021年第36期11448-11456,共9页世界临床病例杂志

基　　金：the TCM Clinical Research Center for Bone diseases of Jilin Province(Grant No.20180623048TC).

摘　　要：BACKGROUND It is relatively rare for schwannomas to invade bone,but it is very rare for a large mass to form concurrently in the paravertebral region.Surgical resection is the only effective treatment.Because of the extensive tumor involvement and the many important surrounding structures,the tumor needs to be fully exposed.Most of the tumors are completely removed by posterior combined open-heart surgery to relieve spinal cord compression,restore the stability of the spine and maximize the recovery of nerve and spinal cord function.The main objective of this article is to present a schwannoma that had invaded the T5 and T6 vertebral bodies and formed a large paravertebral mass with simultaneous invasion of the spinal canal and compression of the spinal cord.CASE SUMMARY A 40-year-old female suffered from intermittent chest and back pain for 8 years.Computed tomography and magnetic resonance imaging scans showed a paravertebral tumor of approximately 86 mm×109 mm×116 mm,where the adjacent T5 and T6 vertebral bodies were invaded by the tumor,the right intervertebral foramen was enlarged,and the tumor had invaded the spinal canal to compress the thoracic medulla.The preoperative puncture biopsy diagnosed a benign schwannoma.Complete resection of the tumor was achieved by a two-step operation.In the first step,the thoracic surgeon adopted a lateral approach to separate the thoracic tumor from the lung.In the second step,a spine surgeon performed a posterior midline approach to dissect the tumor from the vertebral junction through removal of the tumor from the posterior side and further resection of the entire T5 and T6 vertebral bodies.The large bone defect was reconstructed with titanium mesh,and the posterior root arch was nail-fixed.Due to the large amount of intraoperative bleeding,we performed tumor angioembolization before surgery to reduce and avoid large intraoperative bleeding.The postoperative diagnosis of benign schwannoma was confirmed by histochemical examination.There was no sign of tumor recurrence

关 键 词：Giant schwannoma NEURILEMMOMA Spinal tumor SURGERY Case report 

分 类 号：R738.1[医药卫生—肿瘤]