Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Microsurgical Resection of Schwannoma of the Brachial Plexus -A case report -

상완 신경총에 발생한 신경초종의 미세절제술 - 1예 보고 -

  • Son Byung Chul (Department of Neurosurgery, St. Vincent's Hospital, The Catholic University of Korea) ;
  • Cho Kyu Do (Department of Thoracic and Cardiovascular Surgery, College of Medicine, The Catholic University of Korea) ;
  • Jo Min Seop (Department of Thoracic and Cardiovascular Surgery, College of Medicine, The Catholic University of Korea) ;
  • Wang Young Pil (Department of Thoracic and Cardiovascular Surgery, College of Medicine, The Catholic University of Korea) ;
  • Cho Deog Gon (Department of Thoracic and Cardiovascular Surgery, College of Medicine, The Catholic University of Korea)
  • 손병철 (가톨릭대학교 성빈센트병원 신경외과) ;
  • 조규도 (가톨릭대학교 의과대학 흉부외과학교실) ;
  • 조민섭 (가톨릭대학교 의과대학 흉부외과학교실) ;
  • 왕영필 (가톨릭대학교 의과대학 흉부외과학교실) ;
  • 조덕곤 (가톨릭대학교 의과대학 흉부외과학교실)
  • Published : 2005.03.01
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Abstract

Neurogenic tumors of the brachial plexus region are relatively rare. We report a recent experience of schwannoma of the right brachial plexus in the inferior trunk, which was successfully treated by microsurgical resection. A 38-year- old man presented a dysesthetic pain in the supraclavicular area and the right forearm of C6, 7 dermatome. Rubbery hard mass was palpated in the right supraclavicular area and magnetic resonance imaging showed a well circumscribed, well enhanced ovoid mass with cystic degeneration on the right brachial plexus portion. The patient underwent complete removal of the mass through the anterior cervicothoracic (modified Dartevelle) approach. At the postoperative 3 months, there is no neurologic deficit.

상완 신경총에 발생하는 종양은 비교적 드물다 저자들은 상완 신경총의 하부 신경간에 발생한 신경초종을 미세현미경 수술로 치료하였기에 보고한다. 38세 남자 환자가 우측 쇄골상부 및 전완부의 6, 7번 경부신경 지배영역에 통증을 호소하였다. 고무탄력의 딱딱한 종괴가 우측 쇄골 상부에서 촉지되었고 자기공명영상소견 상 우측 상완 신경총 부위에 주위와 경계가 뚜렷하고 낭성 부위를 포함하며 조영제에 잘 조영되는 타원형의 종괴였다. 상완 신경총 종양은 전방 경흉부 접근법(Dartevelle 변형술식)을 통해 완전히 제거되었다. 수술 후 3개월째 아무런 신경 증상이 없이 외래 추적관찰 중이다.

Keywords

References

  1. Ganju A, Roosen N, Kline DG, Tiel RL. Outcomes in a consecutive series of 111 surgically treated plexal tumors: a review of the experience at the Louisiana State University Heath Sciences Center. J Neurosurg 2001;95:51-60 https://doi.org/10.3171/jns.2001.95.1.0051
  2. Kehoe NJ, Reid RP, Semple JC. Solitary benign peripheral nerve tumors. J Bone Joint Surg 1994;3:497-500
  3. Morton A, Krasna MJ, White CS, McLaughlin JS. Resection of primary brachial plexus tumor using a modified Dartevelle anterior approach. Ann Thorac Surg 1999;67:1156-7 https://doi.org/10.1016/S0003-4975(99)00127-7
  4. Kim DH, Cho YJ, Tiel RL, Kline DG. Outcomes of surgery in 1019 brachial plexus lesions treated at Louisiana State University Health Sciences Center. J Neurosurg 2003;98: 1005-16 https://doi.org/10.3171/jns.2003.98.5.1005
  5. Kim DS. Neurogenic tumor of the brachial plexus -a case report-. Korean J Thorac Cardiovasc Surg 2004;37:84-7
  6. Ladas G, Rhys-Evans PH, Goldstraw P. Anterior cervical- transsternal approach for resection of benign tumors at the thoracic inlet. Ann Thorac Surg 1999;67:785-9 https://doi.org/10.1016/S0003-4975(98)01323-X
  7. Detterbeck FC. Changes in the treatment of pancoast tumors. Ann Thorac Surg 2003;75:1990-7 https://doi.org/10.1016/S0003-4975(03)00134-6