パラフィン充塡術40年後に起きた脊髄麻痺

Paraffinoma with Spinal Paralysis 40 Years After Pleural Plombage for Tuberculosis

現在，肺結核に対する標準治療は化学療法である．過去には胸郭成形術をはじめとする外科治療が積極的に行われてきた．骨膜外パラフィン充塡術が行われなくなって久しいが，術後晩期に発症する合併症の報告が散見される．術後40年を経過し，まれな晩期合併症である脊髄麻痺を呈した症例を経験したので報告する．

Paraffin had been used for pleural plombage in the treatment of tuberculosis. However, paraffin use has been reported to cause late postoperative complications.

A 79-year-old man was presented with an extramedullary tumor and spinal paralysis. Forty-seven years ago, he had undergone pleural plombage using paraffin for the treatment of pulmonary tuberculosis. Since the extramedullary tumor was found to be paraffinoma, paraffin in the vertebral canal and thoracic cavity was removed surgically. All the paraffin in the vertebral canal and thoracic cavity was removed. After surgery, the patient remains well, without spinal paralysis.