後方固定術及び経口的摘出術を行った第２頚椎発生脊索腫の１例
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概要
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A 68 year old man complained of hoarseness and dysphagia. MR images disclosed a prevertebral mass extending from C1 to C4. The tumor was resected via the transoral approach and diagnosed as a chordoma. Three months after the surgery, the tumor recurred and was operated on by the same approach combined with posterior fixation. Although pharyngeal infection occurred postoperatively, the tumor was almost totally removed. Because of their deep location and locally invasive nature to the surrounding structures, surgery of upper cervical chordoma is a challenge.Staged posterior fixation followed by the transoral resection provides cervical stabilization and direct visualization from C1 to C4.
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