Article Figures & Data
Figures
- Figure 1.
Magnetic resonance imaging T2-weighted noncontrast of giant invasive thoracic schwannoma from cephalad to caudal. A, B: T3 vertebral body slices; the tumor widens the left foramen and left-sided lamina. C, D: T4 vertebral body slices; the tumor erodes the vertebral body, widens the foramen, and erodes the left-sided lamina and rib, invading the myofascial plane. The spinal cord has lost its shape, but cerebrospinal fluid signal is still seen around it. The descending aorta is pushed anteriorly by the mass effect of the tumor. E: T5 vertebral body slice; the tumor erodes part of the vertebral body and left-sided pedicle.
- Figure 1.
Continued.
- Figure 2.
Magnetic resonance imaging T1-weighted with contrast scan showing the sagittal view of the giant invasive spinal schwanomma. A, B: The tumor erodes the T5 vertebral body and pedicle, pushes the aorta anteriorly, and invades the myofascial plane posteriorly. C: Paramedial view of the tumor causing mass effect over the aorta and invading the myofascial plane posteriorly.
- Figure 3.
Surgical planning with curvilinear incision allowing extension to the left. The edges of the marked line are off midline to the left.
- Figure 4.
Intraoperative imaging with the final step before total gross resection of the schwannoma. The schwannoma is retrieved with forceps after it has been resected internally. The hemilaminectomy with the decompressed thoracic spinal canal is marked with an arrow. Spinous processes are marked with arrowheads.
- Figure 5.
Sagittal computed tomography scan from right to left (A to F) showing complete tumor resection. The arrow in E indicates the sclerotic border of the vertebral body caused by the slow growth of the tumor.
