[A rare neurogenic tumor with thoracic growth].
Of 70 operated mediastinal tumors, 15 were neurogenic tumors, one of them clepsydra-shaped, which manifested from the very beginning with spastic paraparesis of the legs. The treatment consisted in a two-steps surgery, the first at the Neurosurgical Clinical of Iaşi (laminectomy and ablation of the rachidian tumor) and the second one, one month later, at the I-st Surgical Clinic of Iaşi (excision of mediastinal tumor and parenchymal bridge within the conjugation hole). The microscopic examination confirmed the diagnosis of neurinoma (schwannoma) Antoni A and B with haemorrhagic areas. Examined at one year interval, the patient was clinically cured with normal thoracic aspect. The clinical peculiarities and therapeutical possibilities of the clepsydra-shaped neurogenic mediastinal tumors are detailed.
Chifan
M
M
Clinica I-a chirurgie, Universitatea de Medicină şi Farmacie Iaşi.
Rusu
M
M
Tîrcoveanu
E
E
Dănilă
N
N
Rădulescu
D
D
D000328:Adult; D006801:Humans; D008297:Male; D008479:Mediastinal Neoplasms / Q000175:diagnosis* / Q000601:surgery; D009442:Neurilemmoma / Q000175:diagnosis* / Q000601:surgery; D012086:Reoperation; D013125:Spinal Neoplasms / Q000175:diagnosis* / Q000601:surgery; D013904:Thoracic Vertebrae / Q000601:surgery; D013908:Thoracotomy
Tumoră neurogenă rară, cu dezvoltare toracică.