胸部Ｘ線撮影で偶然発見された胸椎部腫ようの１症例

岩崎 裕光, 川下 哲, 水本 大介, 長野 博志, 西田 一也, 熊野 修

doi:10.11360/jcsoa1989.2.455

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A case of a thoracic spinal tumor incidentally detected on chest roentgenogram.

説明

In a 15 year-old girl with good health from birth, a thoracic spinal tumor was detected on a routine chest roentgenogram. The neurological examination was normal, however the plain chest roentgenogram showed a left mediastinal mass. Myelogram showed the incomplete block of dye column around Th₁₀. Isovist CT scan revealed the extradural tumor, which destructed part of the left Th₁₀ vertebral arch and transverse process. Axial images of MRI finely showed the extradural and paravertebral tumor, which existed in the Th₁₀ vertebral body anterolaterally. Although the tumor protruded into the pleura and beside the descending aorta, it didn't compress the dural theca. Cubic configuration of a dumb-bell tumor, in the case of differential development, was possibly grasped by MRI, and such examinations were very useful for the operation. In the present case, a thoracic spinal dumb-bell tumor could be removed without difficulty by costotransversectomy, and the postoperative course was well.

収録刊行物

中国・四国整形外科学会雑誌

中国・四国整形外科学会雑誌 2 (2), 455-459, 1990

中国・四国整形外科学会

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詳細情報詳細情報について

CRID: 1390282679326920960

NII論文ID: 130003625334

DOI: 10.11360/jcsoa1989.2.455

ISSN: 13475606; 09152695

本文言語コード: ja

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