Giant cell tumor expanded into the thoracic cavity with spinal involvement

This article describes a case of a giant cell tumor that expanded into the thoracic cavity and through the spinal canal into the vertebrae. A 36-year-old man presented with a 6-month history of back pain and dyspnea. Plain chest radiographs showed a huge mass accompanied by right pleural effusion. The mass involved the 12th thoracic spine, and the spinal cord was severely compressed. The tumor was resected with a 2-stage procedure. As a first stage to separate the tumor from the anterior vital structures under direct vision, thoracic surgeons performed a right thoracotomy with chest wall reconstruction from the 8th to 11th ribs. The right lung and inferior vena cava were gently retracted, and the tumor was carefully detached from these structures. We were not able to separate the tumor from the right diaphragm due to severe invasion; therefore, we performed partial resection of the right diaphragm with the tumor. After excision of the anterior part of the tumor, the thoracic wall was reconstructed with the right eighth rib and Marlex mesh. When the patient\u27s general condition improved 2 weeks later, spondylectomy by posterior approach was performed. We achieved excision of a giant cell tumor that had expanded into the thoracic cavity and through the spinal canal into the vertebrae. The patient had achieved full rehabilitation with no neurological or respiratory abnormalities at 7 years postoperatively

腰椎椎体間固定術後に隣接椎間に生じる力学ストレスの検討 : 固定椎間の矢状断アライメントによる変化

金沢大学医学部附属病院リハビリテーション

腎細胞癌の脊椎転移の治療経験

金沢大学医学部附属病院リハビリテーション部学会抄

第5腰椎高位の脊椎腫瘍に対する脊椎全摘術

金沢大学医学部附属病院リハビリテーション部学会抄

脊椎全摘出における脊柱再建

金沢大学医学部附属病院リハビリテーション部学会抄

脊椎全摘出後の再建方法に関する力学試験および有限要素法解析後方インスツルメンテーション Vs. 前方+後方インスツルメンテーション

金沢大学医学部附属病院リハビリテーション

脊柱短縮に伴う脊髄の形態的, 生理的変化に関する検討

金沢大学医学部附属病院リハビリテーション部学会抄

脊椎全摘術における脊椎分節動脈の処理 : 脊椎全摘術はいまだ出血の多い手術なのか?

金沢大学医学部附属病院リハビリテーション

骨粗鬆性脊椎骨折に対する骨切り矯正術におけるFEMを用いた力学的解析 : 骨脆弱性と矯正時のアライメントが再建脊椎に及ぼす応力増加について

金沢大学医学部附属病院リハビリテーション部学会抄