Spinal Intramedullary Metastasis of Breast Cancer
Objective. Breast cancer accounts for approximately one-third of all cancers in females. Approximately 8.5 % of all central nervous system metastases are located in the spinal cord. These patients have rapidly progressing neurological deficits and require immediate examination. The aim of surgery is...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2014/583282 |
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| _version_ | 1849307356856320000 |
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| author | Recep Basaran Mehmet Tiryaki Dilek Yavuzer Mustafa Efendioglu Ece Balkuv Aydin Sav |
| author_facet | Recep Basaran Mehmet Tiryaki Dilek Yavuzer Mustafa Efendioglu Ece Balkuv Aydin Sav |
| author_sort | Recep Basaran |
| collection | DOAJ |
| description | Objective. Breast cancer accounts for approximately one-third of all cancers in females. Approximately 8.5 % of all central nervous system metastases are located in the spinal cord. These patients have rapidly progressing neurological deficits and require immediate examination. The aim of surgery is decompression of neural tissue and histological evaluation of the tumor. In this paper, we present a case of breast cancer metastasis in thoracic spinal intramedullary area which had been partially excised and then given adjuvant radiotherapy. Case. A 43-year-old female patient with breast cancer for 8 years was admitted to our hospital with complaints of weakness in both legs. Eight years ago, she received chemotherapy and radiotherapy. On her neurological examination, she had paraparesis (left lower extremity: 2/5, right lower extremity: 3/5) and urinary incontinence. Spinal MRI revealed a gadolinium enhancing intramedullary lesion. Pathologic examination of the lesion was consistent with breast carcinoma metastasis. The patient has been taken into radiotherapy. Conclusion. Spinal intramedullary metastasis of breast cancer is an extremely rare situation, but it has a high morbidity and mortality rate. Microsurgical resection is necessary for preservation or amelioration of neurological state and also for increased life expectancy and quality. |
| format | Article |
| id | doaj-art-28e77c0b4f8b49678cfe5cf48cc5dff6 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-28e77c0b4f8b49678cfe5cf48cc5dff62025-08-20T03:54:47ZengWileyCase Reports in Medicine1687-96271687-96352014-01-01201410.1155/2014/583282583282Spinal Intramedullary Metastasis of Breast CancerRecep Basaran0Mehmet Tiryaki1Dilek Yavuzer2Mustafa Efendioglu3Ece Balkuv4Aydin Sav5Dr. Lutfi Kirdar Kartal Education and Research Hospital, Department of Neurosurgery, Kartal, 34890 Istanbul, TurkeyDr. Lutfi Kirdar Kartal Education and Research Hospital, Department of Neurosurgery, Kartal, 34890 Istanbul, TurkeyDr. Lutfi Kirdar Kartal Education and Research Hospital, Department of Pathology, 34890 Istanbul, TurkeyDr. Lutfi Kirdar Kartal Education and Research Hospital, Department of Neurosurgery, Kartal, 34890 Istanbul, TurkeyIstanbul Medeniyet University Goztepe Education and Research Hospital, Department of Neurology, 34890 Istanbul, TurkeyAcibadem University School of Medicine, Department of Pathology, 34890 Istanbul, TurkeyObjective. Breast cancer accounts for approximately one-third of all cancers in females. Approximately 8.5 % of all central nervous system metastases are located in the spinal cord. These patients have rapidly progressing neurological deficits and require immediate examination. The aim of surgery is decompression of neural tissue and histological evaluation of the tumor. In this paper, we present a case of breast cancer metastasis in thoracic spinal intramedullary area which had been partially excised and then given adjuvant radiotherapy. Case. A 43-year-old female patient with breast cancer for 8 years was admitted to our hospital with complaints of weakness in both legs. Eight years ago, she received chemotherapy and radiotherapy. On her neurological examination, she had paraparesis (left lower extremity: 2/5, right lower extremity: 3/5) and urinary incontinence. Spinal MRI revealed a gadolinium enhancing intramedullary lesion. Pathologic examination of the lesion was consistent with breast carcinoma metastasis. The patient has been taken into radiotherapy. Conclusion. Spinal intramedullary metastasis of breast cancer is an extremely rare situation, but it has a high morbidity and mortality rate. Microsurgical resection is necessary for preservation or amelioration of neurological state and also for increased life expectancy and quality.http://dx.doi.org/10.1155/2014/583282 |
| spellingShingle | Recep Basaran Mehmet Tiryaki Dilek Yavuzer Mustafa Efendioglu Ece Balkuv Aydin Sav Spinal Intramedullary Metastasis of Breast Cancer Case Reports in Medicine |
| title | Spinal Intramedullary Metastasis of Breast Cancer |
| title_full | Spinal Intramedullary Metastasis of Breast Cancer |
| title_fullStr | Spinal Intramedullary Metastasis of Breast Cancer |
| title_full_unstemmed | Spinal Intramedullary Metastasis of Breast Cancer |
| title_short | Spinal Intramedullary Metastasis of Breast Cancer |
| title_sort | spinal intramedullary metastasis of breast cancer |
| url | http://dx.doi.org/10.1155/2014/583282 |
| work_keys_str_mv | AT recepbasaran spinalintramedullarymetastasisofbreastcancer AT mehmettiryaki spinalintramedullarymetastasisofbreastcancer AT dilekyavuzer spinalintramedullarymetastasisofbreastcancer AT mustafaefendioglu spinalintramedullarymetastasisofbreastcancer AT ecebalkuv spinalintramedullarymetastasisofbreastcancer AT aydinsav spinalintramedullarymetastasisofbreastcancer |