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Korean J Spine Search


Spinal Intramedullary Ependymoma: - Myxopapillary Ependymoma vs. Ependymoma -
Nam-Hoon Yoo, M.D., Seong-Rok Han, M.D., Sang-Won Yoon, M.D., Gi-Taek Yee, M.D.,Chan-Young Choi, M.D., Moon-Jun Sohn, M.D., Dong-Jun Lee, Ph.D., Han-Seong Kim, M.D.1, Choong-Jin Whang, M.D.
Department of Neurosurgery and Pathology1, Ilsan Paik Hospital, College of Medicine, Inje University, Goyang, Korea
척수내 상의세포종: - Myxopapillary 상의세포종 대 상의세포종 -
인제대학교 의과대학 일산백병원 신경외과학교실, 해부병리학교실1
Objective: Ependymoma is the most common spinal intramedullary tumor in adults. We review differences between myxopa- pillary subtype and non-myxopapaillary ependymoma in respect to characteristics, prognosis, and histololgic finding with special emphasis.
Methods: Total five patients with spinal intramedullary ependymoma who underwent operations between 2001 and 2004 at our hospital were reviewed retrospectively. Male to female ratio was 4:1. The mean age was 47(range 15 to 62). The mean follow-up period 23 months.
Results: Most patients(80%) presented with pain initial symptoms. The patients experience symptoms for a mean 12 months preceding initial diagnosis. Total resection was performed in all patients. Among these patients, two patients are myxopapillay subtype. Four patients(80%) were achieved good recovery.
Conclusion:The most important treatment goal of spinal intramedullary ependymoma is total resection and myxopapillary subtype is clinically vary, careful long-term follow-up is needed also.
Keywords: Ependymoma.Myxopapillary subtype.Intramedullary

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