PECULIARITIES OF TREATMENT OF CERVICAL SPINAL NERVE TUMORS WITH PARAVERTEBRAL EXTENSION

Abstract

Introduction. To evaluate the results of surgical treatment of patients with malignant peripheral nerve sheath tumors (MNST) with specification of the peculiarities of their structure and extension pattern, and to determine prognostically unfavorable morphological features in malignant tumors of peripheral nerves.

Materials and methods. The study is based on a retrospective analysis of the medical records of 48 patients. The indication for the operation was worsening neurological symptoms as a result of the tumor process in the cervical spine, verified by methods of neuroimaging (spondylography, CT, SCT, MRI).

Results. he expected response to surgical treatment in patients with MPNST depends on many factors: localization, directions of neoplasm extension, radical nature of the treatment and the histological variant of the tumor. In most cases, MNST is diagnosed in patients aged 27 to 56 years. The time from the onset of neurological symptoms to diagnosis varies from several weeks to one year.

Conclusions. Determining the tactics of surgery and the choice of surgical access is an important component for achieving long remission. The choice of an adequate approach makes it possible to totally remove the tumor, reduces the time of intervention, blood loss, injuries to the nervous structures during removal of the tumor.