title: Combined unilateral hemilaminectomy and thoracoscopic resection of the dumbbell-shaped thoracic neurinoma: a case report.
abstract: A 41-year-old woman complained of chest pain when coughing. Computed tomography and magnetic resonance imaging disclosed a homogenously enhanced tumor occupying the spinal canal at the Th7 level and extending into the right paravertebral space through the intervertebral foramen between Th7 and Th8. The tumor was successfully removed via a posterolateral approach using unilateral hemilaminectomy followed by thoracoscopic surgery. Since the tumor had a dumbbell shape, a combined approach was considered essential. The histological diagnosis was a thoracic neurinoma. Combined hemilaminectomy and thoracoscopic surgery may be a good alternative for the management of thoracic dumbbell-shaped tumors.
authors.affiliation: Department of Neurosurgery, Jikei University School of Medicine, Kashiwa Hospital, 163-1 Kashiwa-shita, Chiba, Kashiwa 277-8567, Japan.
authors.forename: Toshihide
authors.initials: T
authors.lastname: Tanaka
authors.forename: Naoki
authors.initials: N
authors.lastname: Kato
authors.forename: Ken
authors.initials: K
authors.lastname: Aoki
authors.forename: Aya
authors.initials: A
authors.lastname: Nakamura
authors.forename: Mitsuyoshi
authors.initials: M
authors.lastname: Watanabe
authors.forename: Satoru
authors.initials: S
authors.lastname: Tochigi
authors.forename: Hideki
authors.initials: H
authors.lastname: Marushima
authors.forename: Tadashi
authors.initials: T
authors.lastname: Akiba
authors.forename: Yuzuru
authors.initials: Y
authors.lastname: Hasegawa
authors.forename: Toshiaki
authors.initials: T
authors.lastname: Abe