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Korean J Spine Search

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Primary Spinal Malignant Schwannoma
Jae Woong Jang, M.D., Kwan Ho Park, M.D., Tae Wan Kim, M.D., Moon Pyo Chi, M.D., Jae O Kim, M.D. and Jung Chul Kim, M.D.
Department of Neurosurgery, Seoul Veterans Hospital, Seoul, Korea
Abstract
We report the case of a 59-year-old man with malignant schwannoma. He presented with back pain and pain radiating to both legs. He also complained of motor weakness, hypesthesia of the left leg, and a walking difficulty. Magnetic resonance(MR) images of the spine showed a enhanced mass in the left psoas muscle at the L4-L5 level. The tumor was removed by a retroperitoneal approach, and a histopathological examination of the specimen revealed it to be a malignant schwannoma. The patient also received the adjuvant postoperative radiation therapy. We report a case of primary spinal malignant schwannoma not associated with neurofibromatosis.
Keywords: Malignant schwannoma, Retroperitoneal, Radiation therapy


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