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.