[Rare tumor of the posterio-superior mediastinum. Therapeutic approach. Apropos of a case. Review of the literature].
The authors report an exceptional case of giant cell tumour of the third thoracic vertebra revealed by its mediastinal development. Despite intimate involvement of the large mediastinal vessels, a double surgical approach, starting with sternotomy to ensure vascular control then anterolateral thoracotomy, allowed curative resection of this tumor. Treatment was completed by a second neurosurgical operation followed by 5,000 rads of radiotherapy. Based on a review of the literature, the authors discuss the pathogenesis and consider the various therapeutic problems raised by giant cell tumours of the vertebrae (situated above the sacrum).
Zimmermann
J M
JM
Polyclinique Clairval, Marseille.
De Graeve
B
B
Cador
L
L
Colonna
M A
MA
Coblence
J F
JF
Lemesle
L
L
D000328:Adult; D001859:Bone Neoplasms / Q000000981:diagnostic imaging / Q000532:radiotherapy / Q000601:surgery*; D003131:Combined Modality Therapy; D005870:Giant Cell Tumors / Q000000981:diagnostic imaging / Q000532:radiotherapy / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008479:Mediastinal Neoplasms / Q000000981:diagnostic imaging / Q000532:radiotherapy / Q000601:surgery*; D011829:Radiation Dosage; D011859:Radiography; D013908:Thoracotomy
Tumeur rare du médiastin postéro-supérieur. Attitude thérapeutique. A propos d'un cas. Revue de la littérature.