How to treat neurofibroma in spinal canal?

summary

At present, many reasons can lead to fibroma, so fibroma is also a benign tumor. Experts said that neurofibroma is also the most common tumor, so our patients must understand how to treat neurofibroma. In this article, experts will help us to introduce how to treat neurofibroma.

How to treat neurofibroma in spinal canal?

Surgical resection is the only treatment. The purpose of surgical resection is to reduce symptoms and tumor volume. Acoustic neuroma, optic neuroma and other intracranial and intraspinal tumors can be treated surgically. Intracapsular resection is not as easy as neurilemmoma, because its capsule is not clear, and it is easy to relapse. Extracapsular margin resection has a low recurrence rate, while extensive resection is definite treatment and the recurrence rate is very low. If it does not grow on the great nerve trunk, it can be widely or marginally resected. If it grows on the great nerve trunk, such resection will damage the nerve and bring disease and waste. In this case, intracapsular resection is still performed. Although recurrence and nerve involvement may occur, it is very difficult to perform intracapsular resection again. Generally do not do radiotherapy, because it can damage the nerve.

Small and limited cases should be completely removed at one time. In patients with large, extensive or multiple lesions, it is usually difficult to completely resect and can not be cured, so staged resection can be considered. First of all, selective resection was performed on the parts that damaged the appearance, or hindered the function, or suspected malignant transformation. The amount of resection should be estimated when staged resection. If the resection is too much, the wound edge is too tight after suturing, which can lead to wound edge necrosis, wound dehiscence and other complications. Most tumor resection can cause soft tissue defects, which should be repaired by large myocutaneous flap transplantation combined with microsurgical technique.

In order to ensure the survival of the flap, the pedicled skin flap is required to have 1-2 blood vessels (including arteries and veins). There are two kinds of skin flap transplantation: flat skin flap transplantation and tubular skin flap (skin tube) transplantation. The latter is mainly used in plastic surgery, which is not introduced here.

matters needing attention

Because neurofibroma is also a kind of tumor, it can be operated in the place where surgery can be performed, and radiotherapy can be performed in other places where surgery cannot be performed to prevent malignant transformation of benign tumor. Generally, patients can live for a long time. Although they are a little scared on their body or face, they are not life-threatening after all, so we should maintain a good attitude, Face this disease positively, otherwise the mood is not good will cause the immunity to drop, may cause the tumor to worsen, this is not worth the loss.