Surgical plan:
Patient was taken for T2 and T3 separation surgery with C7 to T6 posterior instrumented fusion. Intra-operatively a highly vascular reddish-brown tumour that was encountered. Post operative MRI showed adequate tumour debulking. The histopathology examination was identical to that following the CT guided biopsy and in keeping with an Epithelioid hemangioendothelioma.
On follow up review, patient is recovering well and ambulating independently. She was discussed at a multi-disciplinary meeting with pathology, radiology, radiation-oncology and neurosurgery and a collective decision to offer radiation therapy was decided upon. She has done the pre-radiation planning and will receive a total of 54Gy in 30 fractions over 6 weeks.
She is due to follow up with the endocrine surgical service for the thyroid papillary carcinoma at their outpatient service and is planned for elective thyroid lobectomy.