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青少年胸椎硬膜内骨化成熟畸胎瘤——一份特别强调手术策略的技术病例报告

Ossified upper thoracic intradural mature teratoma in a teenager - A technical case report with special emphasis on surgical strategy.

作者信息

Sharma Rajeev, Bora Santanu, Sulaiman Mohamed, Garg Ajay, Laythaling Rajinder Kumar

机构信息

Department of Neurosurgery, AIIMS, New Delhi, India.

Department of Pathology, AIIMS, New Delhi, India.

出版信息

J Neurosci Rural Pract. 2023 Apr-Jun;14(2):349-354. doi: 10.25259/JNRP_21_2022. Epub 2023 Jan 9.

Abstract

Spinal teratomas are heterogeneous neoplasms and are extremely rare in the upper thoracic spine. They are sub-classified as mature, immature, or malignant. They may be calcified or rarely ossified; the latter posing a major surgical challenge due to surgical difficulties in safe removal. Clinicoradiologico-pathological and operative experience of ossified spinal intradural mature teratomas is extremely rare. We present a case of ossified upper thoracic intradural mature teratoma managed by microsurgical drilling and resection under neuromonitoring.

摘要

脊髓畸胎瘤是异质性肿瘤,在上胸椎极为罕见。它们可分为成熟型、未成熟型或恶性型。它们可能会钙化,很少会骨化;由于安全切除存在手术困难,后者构成了重大的手术挑战。骨化性脊髓硬膜内成熟畸胎瘤的临床放射学病理及手术经验极为罕见。我们报告一例经显微外科钻孔并在神经监测下切除的上胸椎硬膜内骨化性成熟畸胎瘤病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18ed/10174177/df0de8c6dfa8/JNRP-14-349-g001.jpg

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