馬尾神経部に発生した腫瘍の手術
STUDY DESIGN : Surgical technique for the cauda equina tumors. MATERIALS AND METHODS : 10 patients with cauda equina tumors were treated surgically. There were 6 men and 4 women, with ages ranging from 33 years to 76 years. In all 10 cases, schwannoma were exhibited in 7 patients, ependymoma was exh...
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| Published in | 脊髄外科 Vol. 19; no. 1; pp. 55 - 60 |
|---|---|
| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
日本脊髄外科学会
31.03.2005
The Japanese Society of Spinal Surgery |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0914-6024 1880-9359 |
| DOI | 10.2531/spinalsurg.19.55 |
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| Abstract | STUDY DESIGN : Surgical technique for the cauda equina tumors. MATERIALS AND METHODS : 10 patients with cauda equina tumors were treated surgically. There were 6 men and 4 women, with ages ranging from 33 years to 76 years. In all 10 cases, schwannoma were exhibited in 7 patients, ependymoma was exhibited in 1 patient, mixed-glioma was exhibited in 1 patient and metastatic tumor was 1 patient. In the 7 cases of schwannoma, 2 cases were giant schwannoma. All patients presented with lumbago or pain of lower extremities. 1 patient had an emergency operation performed. Complete tumor resection was possible in 8 cases (schwannomas and ependymoma), and subtotal tumor resection (more than 90%) was done in 2 patients (mixed-glioma and metastatic tumor). OUTCOME : All patients had good outcomes after operations. CONCLUSION : It is very important to make a good approach with resection of cauda equina tumors, especially, giant schwannoma/ or metastatic tumors. |
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| AbstractList | STUDY DESIGN : Surgical technique for the cauda equina tumors. MATERIALS AND METHODS : 10 patients with cauda equina tumors were treated surgically. There were 6 men and 4 women, with ages ranging from 33 years to 76 years. In all 10 cases, schwannoma were exhibited in 7 patients, ependymoma was exhibited in 1 patient, mixed-glioma was exhibited in 1 patient and metastatic tumor was 1 patient. In the 7 cases of schwannoma, 2 cases were giant schwannoma. All patients presented with lumbago or pain of lower extremities. 1 patient had an emergency operation performed. Complete tumor resection was possible in 8 cases (schwannomas and ependymoma), and subtotal tumor resection (more than 90%) was done in 2 patients (mixed-glioma and metastatic tumor). OUTCOME : All patients had good outcomes after operations. CONCLUSION : It is very important to make a good approach with resection of cauda equina tumors, especially, giant schwannoma/ or metastatic tumors. |
| Author | 井田, 正博 阪川, 肇 朝本, 俊司 小林, 信介 神保, 洋之 土居, 浩 遠藤, 孝裕 |
| Author_FL | KOBAYASHI Nobusuke ASAMOTO Shunji ENDOH Takahiro SAKAGAWA Hajime JINBO Hiroyuki IDA Masahiro DOI Hiroshi |
| Author_FL_xml | – sequence: 1 fullname: ASAMOTO Shunji – sequence: 2 fullname: DOI Hiroshi – sequence: 3 fullname: KOBAYASHI Nobusuke – sequence: 4 fullname: ENDOH Takahiro – sequence: 5 fullname: SAKAGAWA Hajime – sequence: 6 fullname: IDA Masahiro – sequence: 7 fullname: JINBO Hiroyuki |
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| References | 7. Hargraves RW, Cotelingam JD, Harris RD, Pulliam MW: Unusual metastasis to the cauda equina: case report. Neurosurgery 19: 828-830, 1986 1. Asazuma T, Toyama Y, Suzuki N, Fujimura Y, Hirabayashi K: Ependymomas of the spinal cord and cauda equina: An analysis of 26 cases and a review of the literature. Spinal Cord 37: 753-759, 1999 5. Friedman JA, Wetjen NM, Atkinson JL: Utility of intraoperative ultrasound for tumors of the cauda equina. Spine 28: 288-290, 2003 6. Gaetani P, Di Ieva A, Colombo P, Tancioni F, Aimar E, Debernardi A, Rodriguez Y, Baena R: Intradural spial metastasis of renal clear cell carcinoma causing cauda equina syndrome. Acta Neurochir (Wien) 146: 857-861, 2004 11. Lapierre F, Bataille B, Vandermarcq P, Goujon JM, Wager M, Page P: Cauda equina tumors in adults. Neurochirurgie 45: 29-38, 1999 13. Miliaras GC, Kyritsis AP, Polyzoidis KS: Cauda equina paraganglioma: review. J Neurooncol 65: 177-190, 2003 9. Kagaya H, Abe E, Sato K, Shimada Y, Kimura A: Giant cauda equina schwannoma. A case report. Spine 15: 268-272, 2000 3. Bayassi S, Franc Z: Metastases to the spinal cord and cauda equina. Neurol Neurochir Pol 31: 615-619, 1997 4. da Costa LB Jr, de Andrade A, Braga BP, Ribeiro CA: Cauda equina hemangioblastoma. Case report. Arq Neuropsiquiatr 61: 456-458, 2003 8. Iwasaki M, Nakamura K, Takeshita K, Kawaguchi H, Akune T, Hoshino Y: Surgical management of giant schwannoma in the lumbosacral region. J Spinal Disord 11: 444-447, 1998 15. Saito T, Nakahara T, Abe Y, Sugiura T, Ogata M, Sugiyama Y, Watanabe T, Honma M, Hida C, Yamamoto T: A 63-year-old man with progressive cauda equina/conus medullaris syndrome. No To Shinkei 50: 1133-1141, 1998 14. Rickert CH, Kedziora O, Gullotta F: Ependymoma of the cauda equina. Acta Neurochir (Wien) 141: 781-782, 1999 12. Linssen WH, Davies GA: A giant cauda equina ependymma. J Neurosurg Psychiatry 65: 71, 1998 10. Kubota M, Saeki N, Yamaura A, Iuchi T, Ohga M, Osato K: A rare case of metastatic renal cell carcinoma resembling a nerve sheath tumor of the cauda equina. J Clin Neurosci 11: 530-532, 2004 2. Bagley CA, Gokaslan ZL: Cauda equina syndrome caused by primary and metastatic neoplasms. Neurosurg Focus 15: e3, 2004 16. Takada T, Doita M, Nishida K, Miura J, Yoshiya S, Kurosaka M: Unusual metastasis to the cauda equina from renal cell carcinoma. Spine 28: 114-117, 2003 17. Wager M, Lapierre F, Blanc JL, Listrat A, Bataille B: Cauda equina tumors: a French multicenter retrospective review of 231 adult cases and review of the literature. Neurosurg Rev 23: 119-129, 2000 |
| References_xml | – reference: 7. Hargraves RW, Cotelingam JD, Harris RD, Pulliam MW: Unusual metastasis to the cauda equina: case report. Neurosurgery 19: 828-830, 1986 – reference: 5. Friedman JA, Wetjen NM, Atkinson JL: Utility of intraoperative ultrasound for tumors of the cauda equina. Spine 28: 288-290, 2003 – reference: 10. Kubota M, Saeki N, Yamaura A, Iuchi T, Ohga M, Osato K: A rare case of metastatic renal cell carcinoma resembling a nerve sheath tumor of the cauda equina. J Clin Neurosci 11: 530-532, 2004 – reference: 2. Bagley CA, Gokaslan ZL: Cauda equina syndrome caused by primary and metastatic neoplasms. Neurosurg Focus 15: e3, 2004 – reference: 8. Iwasaki M, Nakamura K, Takeshita K, Kawaguchi H, Akune T, Hoshino Y: Surgical management of giant schwannoma in the lumbosacral region. J Spinal Disord 11: 444-447, 1998 – reference: 14. Rickert CH, Kedziora O, Gullotta F: Ependymoma of the cauda equina. Acta Neurochir (Wien) 141: 781-782, 1999 – reference: 1. Asazuma T, Toyama Y, Suzuki N, Fujimura Y, Hirabayashi K: Ependymomas of the spinal cord and cauda equina: An analysis of 26 cases and a review of the literature. Spinal Cord 37: 753-759, 1999 – reference: 4. da Costa LB Jr, de Andrade A, Braga BP, Ribeiro CA: Cauda equina hemangioblastoma. Case report. Arq Neuropsiquiatr 61: 456-458, 2003 – reference: 15. Saito T, Nakahara T, Abe Y, Sugiura T, Ogata M, Sugiyama Y, Watanabe T, Honma M, Hida C, Yamamoto T: A 63-year-old man with progressive cauda equina/conus medullaris syndrome. No To Shinkei 50: 1133-1141, 1998 – reference: 17. Wager M, Lapierre F, Blanc JL, Listrat A, Bataille B: Cauda equina tumors: a French multicenter retrospective review of 231 adult cases and review of the literature. Neurosurg Rev 23: 119-129, 2000 – reference: 9. Kagaya H, Abe E, Sato K, Shimada Y, Kimura A: Giant cauda equina schwannoma. A case report. Spine 15: 268-272, 2000 – reference: 11. Lapierre F, Bataille B, Vandermarcq P, Goujon JM, Wager M, Page P: Cauda equina tumors in adults. Neurochirurgie 45: 29-38, 1999 – reference: 13. Miliaras GC, Kyritsis AP, Polyzoidis KS: Cauda equina paraganglioma: review. J Neurooncol 65: 177-190, 2003 – reference: 6. Gaetani P, Di Ieva A, Colombo P, Tancioni F, Aimar E, Debernardi A, Rodriguez Y, Baena R: Intradural spial metastasis of renal clear cell carcinoma causing cauda equina syndrome. Acta Neurochir (Wien) 146: 857-861, 2004 – reference: 3. Bayassi S, Franc Z: Metastases to the spinal cord and cauda equina. Neurol Neurochir Pol 31: 615-619, 1997 – reference: 16. Takada T, Doita M, Nishida K, Miura J, Yoshiya S, Kurosaka M: Unusual metastasis to the cauda equina from renal cell carcinoma. Spine 28: 114-117, 2003 – reference: 12. Linssen WH, Davies GA: A giant cauda equina ependymma. J Neurosurg Psychiatry 65: 71, 1998 |
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| Title | 馬尾神経部に発生した腫瘍の手術 |
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