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成人胸段硬膜内外生性成熟畸胎瘤:病例报告及文献综述

Adult Thoracic Intradural Exophytic Mature Teratoma: Case Report and Literature Review.

作者信息

Danison Aaron P, Ramanathan Dinesh, Matin Mahan, Kim Kee, Panchal Ripul R

机构信息

Department of Neurosurgery, University of California, Davis, CA, USA.

出版信息

Asian J Neurosurg. 2018 Oct-Dec;13(4):1182-1185. doi: 10.4103/ajns.AJNS_370_16.

Abstract

Mature thoracic intraspinal teratomas are rare tumors in adults. In this case study, we present a case of intradural, extramedullary teratoma, which was surgically resected. A 50 year old man presented with progressive bilateral leg pain, severe myelopathy and weakness. Magnetic Resonance Imaging (MRI) revealed a cystic mass lesion in the T11-12 region region. Microsurgical resection of the tumor using CO laser with neuromonitoring was performed. Postoperatively, the patient had a remarkable clinical improvement. Mature spinal teratomas are rare, slow growing spinal tumors. Surgical resection provides excellent recovery, and recurrence rates are low.

摘要

成熟型胸段椎管内畸胎瘤在成人中是罕见肿瘤。在本病例研究中,我们报告了一例经手术切除的硬脊膜内、髓外畸胎瘤病例。一名50岁男性出现进行性双侧腿痛、严重脊髓病和肌无力。磁共振成像(MRI)显示T11 - 12区域有一个囊性肿块病变。使用CO激光并在神经监测下对肿瘤进行了显微手术切除。术后,患者临床症状有显著改善。成熟型脊柱畸胎瘤是罕见的、生长缓慢的脊柱肿瘤。手术切除可带来良好的恢复,且复发率低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/048e/6208199/8355bffcb7a0/AJNS-13-1182-g001.jpg

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