Intramedullary spinal cord tumor presenting as the initial manifestation of metastatic colon cancer: case report and review of the literature.

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21 Citazioni (Scopus)

Abstract

Study design: Case reports and review of the literature.Objective: Intramedullary spinal cord metastases (ISCMs) are rare type of central nervoussystem (CNS) involvement of systemic malignant tumors. Since the advent of newneuroradiological techniques, their detection have become increasingly diagnosed in recentyears and, although somewhat controversial, surgical treatment has been considered a validoption.Setting: Neurosurgical Clinic, Department of Clinic Neuroscience, University of Palermo,Italy.Method: The authors describe the case of a 61-year-old woman who was admitted presentingwithprogres sive tetraplegia. Investigations revealed an intramedullary spinal cord lesion at thecervical level. Magnetic resonance imaging of the brain did not reveal other CNS metastaticlesions.Result: Patient underwent surgical treatment. The tumor was resected and the patient’sneurologic deficits slowly improved. Histological examination of the lesion showed the typicalfeatures of a colon carcinoma metastasis. Patient was referred for proper oncological treatmentbut, unfortunately, she died of disseminated disease within 2 months.Conclusion: Although uncommon, spinal cord metastases should be considered in thedifferential diagnosis of ISCM in order to rationalize the decisional-making process andimprove the quality of life for these patients.
Lingua originaleEnglish
pagine (da-a)793-796
Numero di pagine4
RivistaSpinal Cord
Volume45
Stato di pubblicazionePublished - 2007

All Science Journal Classification (ASJC) codes

  • Neurology
  • Clinical Neurology

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