One-Stage Resection of Giant Invasive Thoracic Schwannoma: Case Report and Review of Literature Article

PMID: 24688347 Web of Science: 000420359900026

Cited authors

  • Valle-Giler, Edison P.; Garces, Juanita; Smith, Roger D.; Sulaiman, Wale A. R.


  • Background: Schwannomas comprise approximately 25% of all spinal tumors, being the third most frequent soft-tissue tumor after hemangiomas and lipomas. Grade 5 invasive giant schwannomas erode the vertebral bodies, involve 2 or more levels, and invade the myofascial planes. Because 3 compartments are involved, these tumors represent a surgical challenge and frequently require staged surgeries with a multidisciplinary surgical team.; Case Report: We report the case of a 62-year-old female who presented with intermittent upper back pain for 3 years. A magnetic resonance imaging scan of the thoracic spine showed a mass invading the vertebral body, pedicle, and lamina of T4 and part of T3 and T5. Needle biopsy confirmed the diagnosis of schwannoma. The patient underwent surgery using a parascapular extracavitary costotransversectomy approach.; Conclusion: Giant invasive spinal schwannomas are rare in the thoracic spine, and surgical approaches usually have entailed multiple-stage surgeries with the assistance of other surgical specialties. Our 1-stage complete surgical resection of a giant invasive spinal schwannoma used a parascapular costotransversectomy approach that maintained spinal stability and thus avoided the need for instrumentation.

Publication date

  • 2014

Published in

International Standard Serial Number (ISSN)

  • 1524-5012

Start page

  • 135

End page

  • 140


  • 14


  • 1