Odontoid metastasis: a potential lethal complication
| Autor: | Faizal Rayan, Cibu Mukundan, R. L. Barrington, D. D. Shukla |
|---|---|
| Jazyk: | angličtina |
| Předmět: |
Adult
medicine.medical_specialty Secondaries medicine.medical_treatment Physical examination Case Report Breast Neoplasms Metastases Malignancy Asymptomatic Metastasis Lesion Breast cancer Odontoid Process medicine Humans Orthopedics and Sports Medicine Spinal Neoplasms medicine.diagnostic_test business.industry Magnetic resonance imaging medicine.disease Magnetic Resonance Imaging Spine Surgery Radiation therapy Carcinoma Lobular Odontoid Female Radiology medicine.symptom business Tomography X-Ray Computed Complication |
| Zdroj: | Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology |
| ISSN: | 1590-9921 |
| DOI: | 10.1007/s10195-009-0073-3 |
| Popis: | Nearly one third of cervical spine metastasis has a primary breast malignancy. Patients with cervical metastasis have higher mortality due to advanced stage of the malignancy. Treatment is palliative to relieve pain, prevent pathological fracture, improve mobility and function, and prolong survival. We describe a 40-year-old woman with a history of breast cancer who presented with neck and shoulder pain of 1 week duration with no neurological deficit. Following clinical examination, radiographs taken of the cervical spine was normal. Radiographs repeated 3 weeks later revealed a large lytic lesion of the odontoid occupying 70–80% of the peg. Further investigation including magnetic resonance imaging and bone scan showed no further spinal lesions. She underwent cyclical radiotherapy with complete resolution of the odontoid peg lesion and clinically was asymptomatic at 2 years. Metastatic lesions of the odontoid are atypical, and this case reinforces the necessity of early detection to evade disastrous consequences. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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