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Clinical Case Presentation ERRATUM TO: Thoracic chordoma with epidural extension: a case report of total en bloc spondylectomy N. Kawahara, K. Tomita, H. Murakami, S. Demura Department of Orthopaedic Surger y, Kanazawa University, Kanazawa, Japan CT-axial at T12 61-year-old male 5 months history of back pain Paraparesis (Frankel Grade D) This presentation was made during the 13th ArgoSpine No history of carcinoma Symposium, in 2009 No funds were received in support of this study T1 fat suppression enhancement (+) 2 3 MRI MRI 4 5 © Springer 2010 - DOI 10.1007/s12240-010-0018-y - ArgoSpine NEWS&JOURNAL - quarterly june 2010 - Vol. 22 - N°2 Clinical Case Presentation MRI Bone Scan: Negative PET: Negative 6 7 What is the diagnosis? Interactive vote Needle biopsy: Chordoma 1. Solitary metastasis: origin unknown 19% 2. Malignant fibrous histiocytoma 13% 3. Chondrosarcoma 8% 4. Chordoma 25% 5. Plasmacytoma 24% 6. Lymphoma 12% 8 9 What is the treatment? What is the treatment? Interactive vote Case: 61-year-old male Diagnosis: Chordoma at T12 1. Palliative surgery 3% 2. Piecemeal excision including margin 5% 3. En bloc resection with tumor margin 92% 10 11 How to remove the tumor vertebra? Chordoma of the mobile spine “The only treatment
ArgoSpine News & Journal – Springer Journals
Published: Sep 1, 2010
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