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J Korean Neurosurg Soc. 2001 May;30(5):642-646. Korean. Case Report.
Kim SY , Whang K , Hong SK , Pyen JS , Hu C , Kim HJ , Han YP , Lee MS , Lee CK , Cho MY .
Department of Neurosurgery, Wonju College of Medicine, Yonsei University, Wonju, Korea.
Department of Diagnostic Radiology, Wonju College of Medicine, Yonsei University, Wonju, Korea.
Department of Cardiothoracic Surgery, Wonju College of Medicine, Yonsei University, Wonju, Korea.
Department of Pathology, Wonju College of Medicine, Yonsei University, Wonju, Korea.
Abstract

A 12-years-old female admitted to the hospital with the complaint of pain on the right upper chest area which persisted about 1 month prior to admission. Cafe-au-lait spots of various size laying on a whole body and freckling on the axilla were found on physical examination. A huge mass was found on the plain chest X-ray and on chest MRI. The mass encroached thoracic spine, posterior rib, back muscles, and then into the neural canal and compressed thoracic spinal cord. On the 5th day of hospitalization, the patient complained tingling on the both legs and 2 days later, monoparesis on the right leg. Open thoracotomy and decompressive laminectomy was done to remove mass. Pathologic reports confirmed rhabdomyosarcoma, embryonal type.

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