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多节段颈椎脊索瘤矢状旁切除联合自体硬膜移植及单侧椎动脉结扎:病例报告及文献综述

Parasagittal resection of multilevel cervical chordoma with autograft duraplasty and unilateral vertebral artery ligation: A case report and literature review.

作者信息

Tavares Junior Mauro Costa Morais, Morale Victor, Soares Lucas de Sousa, Teixeira William Gemio Jacobsen, Narazaki Douglas Kenji

机构信息

Cancer Institute of Sao Paulo State - Oncologic Orthopedic Spinal Surgery Division, University of Sao Paulo, Sao Paulo, Brazil.

DWO Medicos Associados, Sao Paulo, Brazil.

出版信息

Radiol Case Rep. 2024 Jan 4;19(3):1181-1189. doi: 10.1016/j.radcr.2023.12.039. eCollection 2024 Mar.

Abstract

Chordomas are rare tumors and the recommended course of treatment typically entails surgical resection, which presents significant challenges owing to the anatomical location commonly involved and the inherent resistance of these lesions to radiation and chemotherapy. This case report details the experience of a 61-year-old male who underwent a parasagittal resection spanning from C1 to C4. A durotomy was executed to enable en bloc excision of the tumor. Subsequently, a duraplasty procedure was implemented, utilizing autologous muscle fascia grafting. A comprehensive analysis of the pertinent literature was conducted to underscore the key clinical aspects and outcomes related to this topic.

摘要

脊索瘤是罕见肿瘤,推荐的治疗方案通常包括手术切除,由于其通常累及的解剖位置以及这些病变对放疗和化疗的固有抗性,手术切除面临重大挑战。本病例报告详细介绍了一名61岁男性接受从C1至C4矢状旁切除的经历。进行了硬脑膜切开术以实现肿瘤的整块切除。随后,采用自体肌筋膜移植实施了硬脑膜成形术。对相关文献进行了全面分析,以强调与该主题相关的关键临床要点和结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2e2/10801135/c569b85738b6/gr1.jpg

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