Department of Neurosurgery, University of Mississippi Medical Center, 2500 North State Street, Jackson, Mississippi 39216, USA.
J Clin Neurosci. 2011 Sep;18(9):1262-4. doi: 10.1016/j.jocn.2011.01.017. Epub 2011 Jul 13.
Exophytic ependymomas of the spinal cord are very rare outside the filum or conus region. We present a patient with a thoracic spinal cord intradural extramedullary and intramedullary, World Health Organization grade II ependymoma. Gross total resection of the extramedullary component with subtotal resection of the intramedullary tumor was achieved, since there was no clear distinction between cord and tumor. The patient received postoperative external beam radiotherapy for residual tumor, and at a 2-year follow-up he is ambulatory without evidence of tumor recurrence.
脊髓外生性室管膜瘤在终丝或圆锥区域以外非常罕见。我们报告了一例胸段脊髓硬脊膜下髓外和髓内，世界卫生组织 2 级室管膜瘤患者。由于脊髓和肿瘤之间没有明显的界限，因此实现了髓外成分的大体全切除和髓内肿瘤的次全切除。患者接受了残余肿瘤的术后外照射放疗，随访 2 年时他能够行走，无肿瘤复发迹象。
