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Research ArticleMinimally Invasive Surgery

A Novel Endoscopic Technique for Biopsy and Tissue Diagnosis for a Paraspinal Thoracic Tumor in a Pediatric Patient: A Case Report

Sanjay Konakondla, Jonathan Nakhla, Jimmy Xia, Sean M. Barber, Jared S. Fridley, Adetokunbo A. Oyelese, Ziya L. Gokaslan, Nikolai G. Rainov, Dimitar G. Haritonov, Ralf Wagner and Albert E. Telfeian
International Journal of Spine Surgery February 2021, 14 (s4) S66-S70; DOI: https://doi.org/10.14444/7167
Sanjay Konakondla
1Warren Alpert Medical School of Brown University, Rhode Island Hospital, Providence, RI
MD
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Jonathan Nakhla
1Warren Alpert Medical School of Brown University, Rhode Island Hospital, Providence, RI
MD
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Jimmy Xia
1Warren Alpert Medical School of Brown University, Rhode Island Hospital, Providence, RI
BSC
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Sean M. Barber
1Warren Alpert Medical School of Brown University, Rhode Island Hospital, Providence, RI
MD
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Jared S. Fridley
1Warren Alpert Medical School of Brown University, Rhode Island Hospital, Providence, RI
MD
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Adetokunbo A. Oyelese
1Warren Alpert Medical School of Brown University, Rhode Island Hospital, Providence, RI
MD, PHD
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Ziya L. Gokaslan
1Warren Alpert Medical School of Brown University, Rhode Island Hospital, Providence, RI
MD
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Nikolai G. Rainov
2MVZ Wirbelsäulenzentrum Taufkirchen b. München, Munich, Germany
MD
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Dimitar G. Haritonov
3University Hospital Heart and Brain, Pleven, Bulgaria
MD, PHD
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Ralf Wagner
4Ligamenta Spine Centre, Frankfurt am Main, Germany
MD
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Albert E. Telfeian
1Warren Alpert Medical School of Brown University, Rhode Island Hospital, Providence, RI
MD, PHD
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    Figure 1

    MRI findings. T2 weighted sequences revealing a paraspinal enhancing lesion at the level of T5 (A: coronal plane; B: sagittal plane), ventral to the costovertebral joint on the right side (C).

  • Figure 2
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    Figure 2

    Tumor location. Artist representation of right ventrolateral tumor at the costovertebral joint at the level of T5.

  • Figure 3
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    Figure 3

    Working channel. (A) AP projection of the working channel aiming towards the right T5 costovertebral joint directly onto the tumor with 3.5-mm Joimax grasper forceps used to obtain the specimen shown in the lateral projection (B). AP, anteroposterior.

  • Figure 4
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    Figure 4

    Surgical technique. Artist representation of the surgical approach from a paravertebral incision through the T5 costovertebral joint (CVJ) to biopsy the right ventrolateral tumor (T) using (C) grasper forceps (B) through the endoscope via (A) a working channel.

  • Figure 5
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    Figure 5

    Paraganglioma. (A) Cytology revealing Zellballen structure with (B) positive synaptophysin and (C) chromogranin A, 100× magnification.

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International Journal of Spine Surgery
Vol. 14, Issue s4
1 Feb 2021
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A Novel Endoscopic Technique for Biopsy and Tissue Diagnosis for a Paraspinal Thoracic Tumor in a Pediatric Patient: A Case Report
Sanjay Konakondla, Jonathan Nakhla, Jimmy Xia, Sean M. Barber, Jared S. Fridley, Adetokunbo A. Oyelese, Ziya L. Gokaslan, Nikolai G. Rainov, Dimitar G. Haritonov, Ralf Wagner, Albert E. Telfeian
International Journal of Spine Surgery Feb 2021, 14 (s4) S66-S70; DOI: 10.14444/7167

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A Novel Endoscopic Technique for Biopsy and Tissue Diagnosis for a Paraspinal Thoracic Tumor in a Pediatric Patient: A Case Report
Sanjay Konakondla, Jonathan Nakhla, Jimmy Xia, Sean M. Barber, Jared S. Fridley, Adetokunbo A. Oyelese, Ziya L. Gokaslan, Nikolai G. Rainov, Dimitar G. Haritonov, Ralf Wagner, Albert E. Telfeian
International Journal of Spine Surgery Feb 2021, 14 (s4) S66-S70; DOI: 10.14444/7167
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Keywords

  • endoscopic spine surgery
  • thoracic tumor
  • paraganglioma

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