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자료유형
학술저널
저자정보
Lee, Chang-Sub (Departments of Neurosurgery, Jeju National University School of Medicine, Institute of Medical Science) Huh, Ji-Soon (Departments of Neurosurgery, Jeju National University School of Medicine, Institute of Medical Science) Chang, Jee-Won (Departments of Thoracic Surgery, Jeju National University School of Medicine, Institute of Medical Science) Park, Ji-Kang (Departments of Radiology, Jeju National University School of Medicine, Institute of Medical Science)
저널정보
대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제47권 제1호
발행연도
2010.1
수록면
51 - 54 (4page)

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Surgery has a key role in the treatment of malignant peripheral nerve sheath tumors (MPNSTs), but the resectability of paraspinal MPNSTs is only 20%. Therefore, spinal MPNSTs show frequent recurrence and poor prognosis. Local recurrence is much more common than metastasis for MPNSTs, and surgery still has a key role in the treatment of local recurrence. Therefore, it is important that recurrence must be detected before resectability is lost. However, no evidence-based follow-up protocol has been established for MPNST. The authors performed gross total resection in a 34-year-old woman presented with thoracic MPNST. Adjuvant radiotherapy and chemotherapy were not administered since these adjuvant therapies generally do not improve survival in MPNST and may cause additional neurovascular damage. Instead, the authors monitored the primary site every 3 months using magnetic resonance imaging to detect local recurrence at the earliest opportunity. The tumor recurred locally on two occasions without overt symptoms at 21 and 24 months postoperatively. These recurrences were treated successfully by gross total removal.

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