PMC6222067_01
(A) Computed tomography (CT) showing the tumor located in the posterior mediastinum (white asterisks). (B) CT showing scoliosis with the tumor (black asterisks).
gr1.jpg
PMC6222067_01_gr1.jpg
fig0005
Cobb's technique was 73  on plain X-ray. Chest computed tomography revealed a neurofibroma in the posterior mediastinum (Fig. 1).
(A) Intraoperative findings showing the tumor's dark-red appearance, being located widely adjacent to the spine and surrounding tissues (white asterisks). (B) Macroscopic findings showing that the boundary between the tumor and surrounding tissues is unclear.
gr2.jpg
PMC6222067_01_gr2.jpg
fig0010
First, extirpation of the neurofibroma was performed by a posterolateral incision in the right lateral position (Fig. 2A). Posterior spinal fusion with segmental spinal instrumentation for scoliosis were then performed by a middle incision in the prone position (Fig. 2B).
(A) Immunohistochemical staining showing the tumor stained by S-100. (B) Immunohistochemical staining showing the tumor stained by CD34.
gr3.jpg
PMC6222067_01_gr3.jpg
fig0015
Pathological examination revealed that the tumor was stained by S-100 and CD34, therefore the tumor was diagnosed with neurofibroma (Fig. 3A, B).
Postoperative plain X-ray showing improvement in the scoliosis.
gr4.jpg
PMC6222067_01_gr4.jpg
fig0020
The postoperative scoliotic curve measurement by Cobb's technique was 45  (Fig. 4).