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Combined Video-Assisted Thoracic Surgery and Posterior Spinal Surgery for the Treatment of Dumbbell Tumor of the First Thoracic Nerve Root.

Ohya J, Miyoshi K, Kitagawa T, Sato Y, Maehara T, Mikami Y - Asian Spine J (2015)

Bottom Line: Surgeons should be cautious, especially when performing a surgical procedure for a dumbbell tumor of the T1 nerve root because the tumor is anatomically located adjacent to important organs and because the T1 nerve root composes the lower trunk of the brachial plexus with the eighth cervical nerve root.We first performed video-assisted thoracic surgery (VATS) to release the organs anteriorly and then performed posterior spinal surgery in the prone position.The combined VATS and posterior spinal surgery may become a standard surgical procedure for the treatment of dumbbell tumors of the T1 nerve root.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedic Surgery, Faculty of Medicine, University of Tokyo, Tokyo, Japan. ; Department of Orthopaedic Surgery, Yokohama Rosai Hospital, Yokohama, Japan.

ABSTRACT
Although several cases of a dumbbell tumor of thoracic nerve roots have been reported, reports on the surgical procedures for a dumbbell tumor of the first thoracic (T1) nerve root are rare. Surgeons should be cautious, especially when performing a surgical procedure for a dumbbell tumor of the T1 nerve root because the tumor is anatomically located adjacent to important organs and because the T1 nerve root composes the lower trunk of the brachial plexus with the eighth cervical nerve root. We present cases with dumbbell tumors of the T1 nerve root that were treated with combined surgical treatment to remove the tumor. We first performed video-assisted thoracic surgery (VATS) to release the organs anteriorly and then performed posterior spinal surgery in the prone position. The combined VATS and posterior spinal surgery may become a standard surgical procedure for the treatment of dumbbell tumors of the T1 nerve root.

No MeSH data available.


Related in: MedlinePlus

T2-weighted axial and coronal magnetic resonance image (MRI). (A) Axial MRI at T1-2 level, (B) coronal MRI.
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Figure 3: T2-weighted axial and coronal magnetic resonance image (MRI). (A) Axial MRI at T1-2 level, (B) coronal MRI.

Mentions: A 41-year-old woman underwent a workplace health screening, and this revealed an abnormal shadow on the apical portion of the right lung on her chest radiograph. Motor weakness of the intrinsic muscle in her right hand was noted on physical examination. Imaging demonstrated a dumbbell tumor of the right T1 nerve root that extended to the foramen and paravertebral region (Fig. 3). We diagnosed the patient as having a dumbbell tumor of the T1 nerve root (Eden type IV).


Combined Video-Assisted Thoracic Surgery and Posterior Spinal Surgery for the Treatment of Dumbbell Tumor of the First Thoracic Nerve Root.

Ohya J, Miyoshi K, Kitagawa T, Sato Y, Maehara T, Mikami Y - Asian Spine J (2015)

T2-weighted axial and coronal magnetic resonance image (MRI). (A) Axial MRI at T1-2 level, (B) coronal MRI.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4522451&req=5

Figure 3: T2-weighted axial and coronal magnetic resonance image (MRI). (A) Axial MRI at T1-2 level, (B) coronal MRI.
Mentions: A 41-year-old woman underwent a workplace health screening, and this revealed an abnormal shadow on the apical portion of the right lung on her chest radiograph. Motor weakness of the intrinsic muscle in her right hand was noted on physical examination. Imaging demonstrated a dumbbell tumor of the right T1 nerve root that extended to the foramen and paravertebral region (Fig. 3). We diagnosed the patient as having a dumbbell tumor of the T1 nerve root (Eden type IV).

Bottom Line: Surgeons should be cautious, especially when performing a surgical procedure for a dumbbell tumor of the T1 nerve root because the tumor is anatomically located adjacent to important organs and because the T1 nerve root composes the lower trunk of the brachial plexus with the eighth cervical nerve root.We first performed video-assisted thoracic surgery (VATS) to release the organs anteriorly and then performed posterior spinal surgery in the prone position.The combined VATS and posterior spinal surgery may become a standard surgical procedure for the treatment of dumbbell tumors of the T1 nerve root.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedic Surgery, Faculty of Medicine, University of Tokyo, Tokyo, Japan. ; Department of Orthopaedic Surgery, Yokohama Rosai Hospital, Yokohama, Japan.

ABSTRACT
Although several cases of a dumbbell tumor of thoracic nerve roots have been reported, reports on the surgical procedures for a dumbbell tumor of the first thoracic (T1) nerve root are rare. Surgeons should be cautious, especially when performing a surgical procedure for a dumbbell tumor of the T1 nerve root because the tumor is anatomically located adjacent to important organs and because the T1 nerve root composes the lower trunk of the brachial plexus with the eighth cervical nerve root. We present cases with dumbbell tumors of the T1 nerve root that were treated with combined surgical treatment to remove the tumor. We first performed video-assisted thoracic surgery (VATS) to release the organs anteriorly and then performed posterior spinal surgery in the prone position. The combined VATS and posterior spinal surgery may become a standard surgical procedure for the treatment of dumbbell tumors of the T1 nerve root.

No MeSH data available.


Related in: MedlinePlus