[Surgical Management of Benign Paravertebral Tumours - Case Series and Review of the Literature].

BACKGROUND

Benign paravertebral tumours of the spine are uncommon lesions, predominantly arising from Schwann cells. Despite their benign nature, their proximity to the spinal canal, pleura, and thoracic vessels makes surgical management challenging.

METHODS

We report four cases of benign paravertebral thoracic tumours treated surgically between 2021 and 2025 using different approaches, including dorsal, retropleural, anterolateral, and thoracoscopic techniques.

RESULTS

Complete resection was achieved in all cases without postoperative neurological deficits. Histopathology confirmed three schwannomas (WHO grade I) and one benign fibrous tumour.

CONCLUSION

An individualised, anatomy-based surgical strategy is crucial. Thoracoscopic approaches (VATS) offer a minimally invasive and safe option for selected cases, while total resection remains the key determinant of long-term tumour control.