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Surgical Management of Primary Thoracic Epidural Melanoma.
Khalilullah, Taha; Mignucci-Jiménez, Giancarlo; Huffman, Henry; Karthikeyan, Hasita; Hanif, Zaheer; Ariwodo, Ogechukwu; Panchal, Ripul R.
Afiliación
  • Khalilullah T; Neurosurgery, American Neurospine Institute, Plano, USA.
  • Mignucci-Jiménez G; Neurosurgery, Loyal and Edith Davis Neurosurgical Research Laboratory, Barrow Neurological Institute, Phoenix, USA.
  • Huffman H; Pathology, Ameripath North Texas, Plano, USA.
  • Karthikeyan H; Neurosurgery, American Neurospine Institute, Plano, USA.
  • Hanif Z; Neurosurgery, University of Texas Medical Branch, Galveston, USA.
  • Ariwodo O; Neurosurgery, Philadelphia College of Osteopathic Medicine South Georgia, Moultrie, USA.
  • Panchal RR; Neurosurgery, American Neurospine Institute, Plano, USA.
Cureus ; 16(2): e54536, 2024 Feb.
Article en En | MEDLINE | ID: mdl-38516457
ABSTRACT
In this study, we reported one of the first cases where a rare robotic-assisted platform with neuronavigation technology and carbon-fiber-polyetheretherketone (CF/PEEK) screws is employed to surgically treat multilevel thoracic primary spinal epidural melanoma. A 67-year-old male presented with left upper thoracic pain. His magnetic resonance imaging (MRI) of the thoracic spine revealed a dumbbell-shaped left epidural mass at the T2-3 level. Partial resection was performed due to tumor growth into the vertebral bodies and patient discretion for minimal surgery. The patient's neurological conditions improved postoperatively, with reduced reported symptoms of pain and numbness. Postoperative imaging showed evidence of appropriate spinal stabilization. Patient underwent stereotactic body radiation therapy (SBRT), and no adverse events were reported. This case reflects one of the first examples of treating thoracic epidural melanoma with the use of robotic-assisted navigation. Further prospective studies are needed to determine the efficacy of robot-assisted navigation for patients with primary spinal malignant melanoma which may open the possibility of surgery to once presumed non-operative patients.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Cureus Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Cureus Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos