Zimmermann J M, De Graeve B, Cador L, Colonna M A, Coblence J F, Lemesle L
Polyclinique Clairval, Marseille.
Ann Chir. 1991;45(8):695-8.
The authors report an exceptional case of giant cell tumour of the third thoracic vertebra revealed by its mediastinal development. Despite intimate involvement of the large mediastinal vessels, a double surgical approach, starting with sternotomy to ensure vascular control then anterolateral thoracotomy, allowed curative resection of this tumor. Treatment was completed by a second neurosurgical operation followed by 5,000 rads of radiotherapy. Based on a review of the literature, the authors discuss the pathogenesis and consider the various therapeutic problems raised by giant cell tumours of the vertebrae (situated above the sacrum).
作者报告了一例第三胸椎巨细胞瘤的特殊病例，该病例因纵隔侵犯而得以发现。尽管巨大的纵隔血管受到紧密侵犯，但采用了双手术入路，先进行胸骨切开术以确保血管控制，然后进行胸壁前外侧切开术，成功实现了该肿瘤的根治性切除。治疗通过第二次神经外科手术完成，随后进行了5000拉德的放射治疗。基于对文献的回顾，作者讨论了其发病机制，并考虑了骶骨以上椎体巨细胞瘤引发的各种治疗问题。
