Metastatic intradural extramedullary spinal cord tumor from ovarian cancer: A case report with a literature review
| Autor: | Yuki Tajima, Hiroaki Kobayashi, Takuya Kawai, Makoto Higashi, Hideto Sano, Shoichi Ichimura, Masahito Takahashi |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Context (language use) Case Reports Metastasis 03 medical and health sciences 0302 clinical medicine medicine Humans 030212 general & internal medicine Spinal Cord Neoplasms Spinal Cord Injuries Aged Ovarian Neoplasms Spinal Neoplasms medicine.diagnostic_test business.industry Laminectomy Magnetic resonance imaging medicine.disease Magnetic Resonance Imaging Spinal cord tumor Adenocarcinoma Female Neurology (clinical) Radiology Differential diagnosis Ovarian cancer business 030217 neurology & neurosurgery Brain metastasis |
| Zdroj: | J Spinal Cord Med |
| Popis: | Context: Metastatic intradural extramedullary spinal cord tumors are extremely rare. Findings: A 76-year-old woman presented with intractable neck pain. Three years earlier, she had been treated for ovarian cancer with bilateral salpingo-oophorectomy. A year later, she underwent resection of a brain metastasis. Magnetic resonance imaging (MRI) showed an encapsulated intradural extramedullary mass at C4–C5. C4–C5 hemilaminectomy, tumor resection, and biopsy were performed. Histological examination of the resection revealed an adenocarcinoma. After surgery, her intolerable neck-shoulder pain was fully resolved, and she had no difficulties with daily living activities. However, two months later, she underwent gamma knife radiosurgery for the recurrent metastatic brain tumor, and four months later, she died from cachexia. Conclusion: Although cases of metastatic intradural extramedullary spinal tumors from ovarian cancer are extremely rare, their possibility should be considered in the differential diagnosis. A history of brain metastases and enhancement on T1-weighted MRI were helpful for making an accurate diagnosis. |
| Databáze: | OpenAIRE |
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