A case report of hybrid surgical resection of a giant dumbbell neurinoma in the thoracic spine
https://doi.org/10.35401/2500-0268-2020-20-4-43-47
Abstract
We report the clinical case of treating a female patient with a giant dumbbell neurinoma arising from the Th1 nerve root. For the treatment of neoplasm, a hybrid surgical tactic was chosen, including Th1 hemilaminectomy, mobilization of the dorsal part of the tumor and video-assisted thoracoscopy in order to remove its intrathoracic mass. The patient developed no neurological complications after surgery. A gross total tumor resection was documented by control computed tomography. Thus, well-coordinated work of the multidisciplinary surgical team provided good oncological and functional results in the treatment of a giant neurinoma with extension into the thoracic cavity.
About the Authors
I. V. Basankin
Scientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1
Russian Federation
Russian Federation
Igor V. Basankin, Dr. of Sci. (Med.), Head of the Neurosurgery Department no. 3
ul. 1 Maya, 167, Krasnodar, 350086
N. V. Naryzhnyi
Scientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1
Russian Federation
Russian Federation
Nikolay V. Naryzhnyi, Thoracic Surgeon, Thoracic Surgery Department no. 1
Krasnodar
A. A. Giulzatyan
Scientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1
Russian Federation
Russian Federation
Abram A. Giulzatyan, Cand. of Sci. (Med.), Neurosurgeon, Neurosurgery Department no. 3
Krasnodar
S. B. Malakhov
Scientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1
Russian Federation
Russian Federation
Sergei B. Malakhov, Neurosurgeon, Neurosurgery Department no. 3
Krasnodar
References
1. Heuer GJ. So-called hour-glass tumors of the spine. Arch Surg. 1929;18:935–61. https://doi.org/10.1001/archsurg.1929.01140130023001
2. Eden K. The dumb-bell tumours of the spine. Br J Surg. 1941;28:549–70. https://doi.org/10.1002/bjs.18002811205
3. Nitter K. Spinal meningiomas, neurinomas and neurofibromas and hourglass tumors. In Vinken PJ, Bruyn GW (eds). Handbook of Clinical Neurology. Vol. 20. Tumours of the Spine and Spinal Cord. Part II. Amsterdam: North-Holland; 1976:289–312.
4. Iraci G, Peserico L, Salar G. Intraspinal neurinomas and meningiomas. A clinical survey of 172 cases. Int Surg. 1971;56:289–303. PMID: 5121132.
5. Ozawa H, Kokubun Sh, Aizawa T, Hoshikawa T, Kawahara Ch. Spinal dumbbell tumors: an analysis of a series of 118 cases. J Neurosurg Spine. 2007;7:587–93. PMID: 18074682. https://doi.org/10.3171/spi-07/12/587
6. Sridhar K, Ramamurthi R, Vasudevan MC, Ramamurthi B. Giant invasive spinal schwannomas: definition and surgical management. J Neurosurg. 2001;94(2 Suppl):210–5. PMID: 11302622. https://doi.org/10.3171/spi.2001.94.2.0210
7. Grillo HC, Ojemann RG, Scannell JG, Zervas NT. Combined approach to “dumbbell” intrathoracic and intraspinal neurogenic tumors. Ann Thorac Surg. 1983;36:402–7. PMID: 6625735. https://doi.org/10.1016/s0003-4975(10)60477-8
8. Barrenechea IJ, Fukumoto R, Lesser JB, Ewing DR, Connery CP, Perin NI. Endoscopic resection of thoracic paravertebral and dumbbell tumors. Neurosurgery. 2006;59:1195–202. PMID: 17277682. https://doi.org/10.1227/01.neu.0000245617.39850.c9
9. Tsunezuka Y, Sato H. Video-assisted thoracoscopy in single-stage resection of a para-aortic posterior mediastinal dumbbell tumor. Thorac Cardiovasc Surg. 1998;46:47–9. PMID: 9554051. https://doi.org/10.1055/s-2007-1010186
10. Konno Sh, Yabuki Sh, Kinoshita T, Kikuchi Sh. Combined laminectomy and thoracoscopic resection of dumbbell-type thoracic cord tumor. Spine. 2001;26:E130–4. PMID: 11246395. https://doi.org/10.1097/00007632-200103150-00005
11. Basankin IV, Porhanov VA, Takhmazyan KK, et al. Giant cell tumor of thoracic spine. A clinical case of efficient radical spondylectomy of three vertebral bodies. Innovative Medicine of Kuban. 2017;6(2):27–33. (In Russ.)
12. Ahmed AK, Pennington Z, Molina CA, Xia Yu, Goodwin CR, Sciubba DM. Multidisciplinary surgical planning for en bloc resection of malignant primary cervical spine tumors involving 3D-printed models and neoadjuvant therapies: report of 2 cases. J Neurosurg Spine. 2019;30:424–31. PMID: 30660123. https://doi.org/10.3171/2018.9.spine18607
Review
For citations:
Basankin I.V., Naryzhnyi N.V., Giulzatyan A.A., Malakhov S.B. A case report of hybrid surgical resection of a giant dumbbell neurinoma in the thoracic spine. Innovative Medicine of Kuban. 2020;(4):43-47. (In Russ.) https://doi.org/10.35401/2500-0268-2020-20-4-43-47
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