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孤立性转移性乳腺癌伴神经功能完整患者的全椎体整块切除术：一例报告

Total En Bloc Spondylectomy in a Case of Solitary Metastatic Breast Carcinoma With Intact Neurology: A Case Report.

作者信息

Mukhopadhyay Kiran K, Nandi Ritwika, Sinha Sarkar Aniruddha, Mandal Ananda

机构信息

Orthopedic Surgery, Nil Ratan Sircar Medical College and Hospital, Kolkata, IND.

Orthopedics, Nil Ratan Sircar Medical College and Hospital, Kolkata, IND.

出版信息

Cureus. 2024 Aug 18;16(8):e67126. doi: 10.7759/cureus.67126. eCollection 2024 Aug.

DOI:10.7759/cureus.67126
PMID:39290946
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11407789/
Abstract

The management of spinal metastasis varies from patient to patient, depending on the type of lesion, stage of the disease, extension into the spinal canal, associated fractures, and life expectancy. We present a case of solitary metastasis with intact neurology in a 48-year-old lady who underwent a radical mastectomy for T2 N3 M0 breast carcinoma 34 months ago. Total en bloc spondylectomy in a neurologically intact patient is a challenging one. In all posterior approaches, there is a high chance of postoperative neurodeficiency. In our case, a combined approach seems to be a much safer procedure with easy accessibility to remove the total D8 vertebra.

摘要

脊柱转移瘤的治疗因患者而异，取决于病变类型、疾病分期、向椎管内的扩展情况、是否伴有骨折以及预期寿命。我们报告一例48岁女性的孤立性转移瘤病例，患者神经功能完好，34个月前因T2 N3 M0乳腺癌接受了根治性乳房切除术。对神经功能完好的患者进行整块全脊椎切除术是一项具有挑战性的手术。在所有后路手术中，术后出现神经功能缺损的可能性很高。在我们的病例中，联合手术似乎是一种更安全的手术方法，能够轻松进入并切除整个D8椎体。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/636a/11407789/cad9b22abbe5/cureus-0016-00000067126-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/636a/11407789/2dfa440f1199/cureus-0016-00000067126-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/636a/11407789/4f36a2008b0e/cureus-0016-00000067126-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/636a/11407789/cad9b22abbe5/cureus-0016-00000067126-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/636a/11407789/2dfa440f1199/cureus-0016-00000067126-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/636a/11407789/4f36a2008b0e/cureus-0016-00000067126-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/636a/11407789/cad9b22abbe5/cureus-0016-00000067126-i03.jpg

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Total En Bloc Spondylectomy in a Case of Solitary Metastatic Breast Carcinoma With Intact Neurology: A Case Report.孤立性转移性乳腺癌伴神经功能完整患者的全椎体整块切除术：一例报告
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Total resection of primary and metastatic spine tumors.原发性和转移性脊柱肿瘤的全切除。
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En bloc spondylectomy for spinal metastases: a review of techniques.脊柱转移瘤的整块椎体切除术：技术综述
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