Analysis According to Characteristics of 18 Cases of Brachial Plexus Tumors : A Review of Surgical Treatment Experience
| العنوان: | Analysis According to Characteristics of 18 Cases of Brachial Plexus Tumors : A Review of Surgical Treatment Experience |
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| المؤلفون: | Kyeong-Wook Yoon, Young-Jin Kim, Sang Koo Lee, In-Ho Jung |
| المصدر: | Journal of Korean Neurosurgical Society |
| بيانات النشر: | Korean Neurosurgical Society, 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | medicine.medical_specialty, Clinical Article, business.industry, General Neuroscience, Malignant peripheral nerve sheath tumor, Brachial plexus neuropathy, Schwannoma, medicine.disease, Benign tumor, 03 medical and health sciences, 0302 clinical medicine, 030220 oncology & carcinogenesis, Monitoring, Intraoperative, medicine, Neurofibroma, Nerve sheath neoplasms, Surgery, Neurology (clinical), Radiology, Neurosurgery, business, Brachial plexus, 030217 neurology & neurosurgery, Nerve sheath neoplasm, Intraoperative neurophysiological monitoring |
| الوصف: | Objective Because the anatomical structure of the brachial plexus is very complex, surgical treatment of tumors in this region is challenging. Therefore, a lot of clinical and surgical experience is required for successful treatment; however, many neurosurgeons have difficulty accumulating this experience owing to the rarity of brachial plexus tumors. The purpose of this report is to share our surgical experience with brachial plexus tumor with other neurosurgeons. Methods The records of 18 consecutive patients with brachial plexus tumors who underwent surgical treatment between January 2010 and December 2017 in a single institution were retrospectively reviewed. The surgical approach was determined according to the tumor location and size, and intraoperative neurophysiological monitoring (IONM) was used in most of cases to prevent iatrogenic nerve injury during surgery. In addition, to evaluate the differences in tumor characteristics according to pathologic diagnosis, the tumors were divided twice into two groups, based on two separate classifications, and statistical analysis was performed. Results The 18 brachial plexus tumors comprised 15 (83.3%) benign peripheral nerve sheath tumors including schwannoma and neurofibroma, one (5.6%) malignant peripheral nerve sheath tumor, one (5.6%) benign tumor of non-neural sheath origin (neurogenic cyst), and one (5.6%) metastatic tumor (papillary carcinoma). The authors analyzed relationship between tumor size/ location and tumor characteristic parameters such as age, size, right-left, and pathology. There were no statistically significant differences except a tendency of bigger tumor size in young age. Conclusion For a successful surgical outcome, an appropriate surgical approach is essential, and the appropriate surgical approach is determined by the location and size of the tumor. Furthermore, applying IONM may prevent postoperative complications and it is favorable option for brachial plexus tumors surgery. |
| اللغة: | English |
| تدمد: | 1598-7876 2005-3711 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::3cc16e4f2fbb5a80379e327f64cf4996Test http://europepmc.org/articles/PMC6129745Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....3cc16e4f2fbb5a80379e327f64cf4996 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15987876 20053711 |
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