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6720740 tn?1384113839

D2-D4 4x5cm Schwannoma - partial excision?

Hi, my Schwannoma is on the left side on the D2-D4 vertebrae, right above aorta.
Docs advise to excise, with the risk of injuring ANS nerves, resulting in split-body syndrome focusing on "red and warm" left hand.

Q is, can the tumor be excised only on its part far from the nerves, so not to injure them? and thus leaving some of the tumor there, but since it grows so slowly, earn symptoms-free years.

A part of the answer might say that the tumor itself can harm those nerves, but still, i'd like to hear that from an expert.

Thanks.
Best Answer
351246 tn?1379682132
MEDICAL PROFESSIONAL
Hi!
I am sorry to hear about your medical problems. Yes, nerve function can be preserved depending on the size, location, proximity to the sympathetic trunks and many other factors. Intracapsular enucleation is a better surgical technique for preserving the nerve function. Please consult your doctor regarding this. Take care!

The medical advice given should not be considered a substitute for medical care provided by a doctor who can examine you. The advice may not be completely correct for you as the doctor cannot examine you and does not know your complete medical history. Hence this reply to your post should only be considered as a guiding line and you must consult your doctor at the earliest for your medical problem.
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6720740 tn?1384113839
Hi again,
My Doctor says that intracapsular enucleation surgeries were performed in the neck, while my tumor is in the mediastinum, and that he isn't familiar with a way to do that operation for mediastinal tumors.

Helpful - 0
6720740 tn?1384113839
Hi, thank you so much. I read about intracapsular enucleation (mostly on this study http://synapse.koreamed.org/DOIx.php?id=10.3349/ymj.2010.51.6.938#T2.

I'm now wondering - is any thoracic surgeon able to perform / agrees to perform intracapsular enucleation? or maybe only some can and willing to, as it is a rather new method?

Thanks.
Helpful - 0
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