====== Thoracic spinal tumor ======
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A thoracic [[spinal tumor]] is a type of [[tumor]] that grows in the [[spinal column]] in the middle section of the back known as the [[thoracic region]]. These tumors can be either benign or malignant and can originate in the [[spinal cord]] or the surrounding structures, such as the bones, muscles, or nerves.

===== Epidemiology =====

see [[Spinal tumor epidemiology]].

===== Classification =====
[[Thoracic Spinal Metastases]].

[[Thoracic Spinal Meningioma]].

[[Thoracic Spinal Cord Ependymoma]].

====Dumbbell-shaped thoracic tumors====
see [[Thoracic spinal schwannoma]].

===== Clinical features =====

Symptoms of a thoracic spinal tumor can include [[pain]] or discomfort in the back or chest, [[numbness]] or [[weakness]] in the arms or legs, difficulty [[walking]], loss of [[bladder]] or [[bowel]] control, and other neurological symptoms. 

===== Treatment =====

[[Treatment]] options for thoracic spinal tumors depend on the type, location, and size of the tumor, as well as the patient's overall health and age. Surgery, radiation therapy, and chemotherapy may be used to treat thoracic spinal tumors, often in combination. A multidisciplinary team of healthcare professionals, including neurosurgeons, oncologists, and radiation oncologists, may be involved in the treatment plan.



==== HGUA ====

A 67-year-old [[male]] referred to [[chest pain]] with a [[past medical history]] of [[hypercholesterolemia]] and [[high blood pressure]] 

Reports [[tick bite]] one month ago. No fever or secondary complications.
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Ex-smoker for 15 years, with a cumulative consumption of approximately 30 pack-years. Diagnosed with [[clear cell renal carcinoma]] and treated with left laparoscopic [[nephrectomy]] 4 years before. Bilateral lung nodules are under investigation to rule out renal cancer metastasis.

Abdominal and pelvic CT scan: Millimeter-sized lung nodules suggestive of metastasis. No signs of local or nodal recurrence were identified. Callus fracture in the right rib.

Brain CT scan and MRI: No abnormalities.

PET-CT  Multiple bilateral non-metabolic micronodules in the lungs, are not assessable by PET due to their size, although they do not rule out metastatic involvement. Recommend size monitoring with CT.


The chest pain was not justified by the current lung pathology. Continue investigation for musculoskeletal chest pain, consider an MRI of the spinal column.


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Focal right foraminal lesion at T5-T6, with a rounded morphology, measuring approximately 9 x 7 x 10 mm (TR x AP x CC). It appears hypointense on T1 and hyperintense on STIR sequences, with homogeneous enhancement following contrast administration. Based on the previous imaging and PET-CT findings, a tumor of the peripheral nerve sheath ([[neurofibroma]]/[[thoracic spinal schwannoma]]) is the most likely possibility.
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Under [[general anesthesia]]); [[Endotracheal intubation]] and [[mechanical ventilation]]; [[Cefazolin]] 2g IV.
[[Prone position]] on [[Wilson's frame]]. 
Longitudinal [[skin incision]] from T2 to T4. [[Skeletonization]] of Th3-Th5 on the right side; Th4 right-sided [[laminectomy]]; Excision of LOE (lesion of uncertain etiology) compatible with Th4 root-dependent schwannoma with the assistance of a microscope and [[Floseal]]. [[Coagulation]] of root origin and remaining [[dura]] without [[evidence]] of [[cerebrospinal fluid leak]]. Hemostasis. Epidural and pleural Spongostan with Valsalva maneuver without a [[leak]]. Fascia and subcutaneous layers closed with [[Vicryl]]. Skin closure with [[staple]]s.