Combination therapy with preoperative embolization and en block laminectomy using thread saw for spinous process solitary fibrous tumor: A case report

Tomohiro Yamada, MD; Tomohiko Hasegawa, MD, PhD; Yoji Shido, MD, PhD; Yu Yamato, MD, PhD; Go Yoshida, MD, PhD; Tatsuya Yasuda, MD, PhD; Tomohiro Banno, MD, PhD; Hideyuki Arima, MD, PhD; Shin Oe, MD, PhD; Hiroki Ushirozako, MD, PhD; Koichiro Ide, MD; Yuh Wanatabe, MD; Yukihiro Matsuyama, MD, PhD

Radiology Case Reports (Dec 2020)

Combination therapy with preoperative embolization and en block laminectomy using thread saw for spinous process solitary fibrous tumor: A case report

Tomohiro Yamada, MD,
Tomohiko Hasegawa, MD, PhD,
Yoji Shido, MD, PhD,
Yu Yamato, MD, PhD,
Go Yoshida, MD, PhD,
Tatsuya Yasuda, MD, PhD,
Tomohiro Banno, MD, PhD,
Hideyuki Arima, MD, PhD,
Shin Oe, MD, PhD,
Hiroki Ushirozako, MD, PhD,
Koichiro Ide, MD,
Yuh Wanatabe, MD,
Yukihiro Matsuyama, MD, PhD

Affiliations

Tomohiro Yamada, MD: Corresponding author.; Department of Orthopedic Surgery, Hamamatsu University School of Medicine, 1-20-1 Handayama Higashi-ku, Hamamatsu, Shizuoka 431-3192, Japan
Tomohiko Hasegawa, MD, PhD: Department of Orthopedic Surgery, Hamamatsu University School of Medicine, 1-20-1 Handayama Higashi-ku, Hamamatsu, Shizuoka 431-3192, Japan
Yoji Shido, MD, PhD: Department of Orthopedic Surgery, Hamamatsu University School of Medicine, 1-20-1 Handayama Higashi-ku, Hamamatsu, Shizuoka 431-3192, Japan
Yu Yamato, MD, PhD: Department of Orthopedic Surgery, Hamamatsu University School of Medicine, 1-20-1 Handayama Higashi-ku, Hamamatsu, Shizuoka 431-3192, Japan
Go Yoshida, MD, PhD: Department of Orthopedic Surgery, Hamamatsu University School of Medicine, 1-20-1 Handayama Higashi-ku, Hamamatsu, Shizuoka 431-3192, Japan
Tatsuya Yasuda, MD, PhD: Department of Orthopedic Surgery, Hamamatsu University School of Medicine, 1-20-1 Handayama Higashi-ku, Hamamatsu, Shizuoka 431-3192, Japan
Tomohiro Banno, MD, PhD: Department of Orthopedic Surgery, Hamamatsu University School of Medicine, 1-20-1 Handayama Higashi-ku, Hamamatsu, Shizuoka 431-3192, Japan
Hideyuki Arima, MD, PhD: Department of Orthopedic Surgery, Hamamatsu University School of Medicine, 1-20-1 Handayama Higashi-ku, Hamamatsu, Shizuoka 431-3192, Japan
Shin Oe, MD, PhD: Department of Orthopedic Surgery, Hamamatsu University School of Medicine, 1-20-1 Handayama Higashi-ku, Hamamatsu, Shizuoka 431-3192, Japan
Hiroki Ushirozako, MD, PhD: Department of Orthopedic Surgery, Hamamatsu University School of Medicine, 1-20-1 Handayama Higashi-ku, Hamamatsu, Shizuoka 431-3192, Japan
Koichiro Ide, MD: Department of Orthopedic Surgery, Hamamatsu University School of Medicine, 1-20-1 Handayama Higashi-ku, Hamamatsu, Shizuoka 431-3192, Japan
Yuh Wanatabe, MD: Department of Orthopedic Surgery, Hamamatsu University School of Medicine, 1-20-1 Handayama Higashi-ku, Hamamatsu, Shizuoka 431-3192, Japan
Yukihiro Matsuyama, MD, PhD: Department of Orthopedic Surgery, Hamamatsu University School of Medicine, 1-20-1 Handayama Higashi-ku, Hamamatsu, Shizuoka 431-3192, Japan

Journal volume & issue: Vol. 15, no. 12
pp. 2607 – 2612

Abstract

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Solitary fibrous tumors are rare mesenchymal neoplasms with highly recurrence rates after intratumor resection. We report 2 cases of solitary fibrous tumors treated with combination therapy with embolization and en bloc laminectomy using thread saw. To the best of our knowledge, this is the first such report. In the 2 cases, the hypervascular tumors were located in the spinal process and infiltrating the multifidus. Preoperative embolization was useful for decreasing intraoperative bleeding, and using thread saw was an ideal technique for deciding the cut surface height of the pedicle to achieve gross total resection.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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