Von Recklinghausen病に合併した胸腔内髄膜りゅうの2例

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  • Intrathoracic Meningocele in Von Recklinghausen's Disease. A Report of Two Cases Treated Surgically.

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We present two cases of intrathoracic meningocele associated with von Recklinghausen's disease. Both cases had typical multiple skin lesion of this disease.<br>CASE 1. A 57-year-old female visited our hospital with nausea in April 1994. Although chest X-ray film revealed a tumor in the left mediastinum, she suffered no respiratory disturbance. She was admitted to our hospital with dyspnea on February 1998. Chest X-ray film revealed a massive left pleural effusion, and a tumor approximately 10cm in diameter appeared after drainage. CT-myelography and MRI showed intrathoracic meningocele. The tumor was resected completely by thoracotomy and laminectomy.<br>CASE 2. A 32-year-old female visited our hospital with scoliosis 13 years ago. She had been asymptomatic, but a follow-up radiograph revealed enlargement of the tumor from 3cm to 6cm in diameter over 6 years. CT scan and MRI showed the tumor communicating with the dural sac. The tumor was resected by thoracoscopic surgery.<br>Their operative course was uneventful. The thoracoscopic resection was minimally invasive. We consider thoracoscopic surgery useful, but indication should be determined according to the size and position of the tumor.

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