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April 24, 2026Orthopedics & TraumatologyOpen Access

胸椎に転移した傍神経節腫瘍に対して腫瘍切除術を行った1例

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Authors

鴻酒鴻 酒井和横和也 横田清樽清志 樽角

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Overview

Case report observes successful tumor resection in a male with paraganglioma spinal metastasis, indicating high surgical risks.

Key Points

  • To report a rare case of paraganglioma with spinal metastasis and its surgical management.
  • A 57-year-old male with a pre-existing paraganglioma underwent emergency thoracic laminectomy and tumor resection due to spinal cord compression.
  • MRI revealed significant spinal cord compression at thoracic levels 7 to 9 prior to surgery.
  • Pathological evaluation confirmed the tumor's paraganglioma nature with specific markers; surgery was performed with close monitoring for hemorrhage.
  • Significant intraoperative bleeding occurred, totaling 3000 ml, requiring blood transfusion.
  • Post-surgery, the patient's lower limb strength improved to MMT4 by the following day, and he was able to use a walker by day five.
  • The presence of SDHB gene mutation in the tumor suggests a higher risk for spinal metastasis and increased surgical bleeding.

Cite This Study

酒井 et al. (2026) studied this question.

synapsesocial.com/papers/69eb0899553a5433e34b38e1https://doi.org/10.5035/nishiseisai.75.174
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