Inoue Tetsuro, Tanaka Eisaku, Sakuramoto Minoru, Minakuchi Masayoshi, Maeda Yuji, Maniwa Ko, Terada Kunihiko, Goto Shunsuke, Takeda Tomoshi, Yuba Yoshiaki, Kobashi Yoichiro, Noma Satoshi, Taguchi Yoshio
The Department of Respiratory Medicine, Tenri Hospital.
Nihon Kokyuki Gakkai Zasshi. 2004 Dec;42(12):1014-8.
A 69-year-old woman was diagnosed with limited stage, small cell lung cancer in February 2001. Systemic chemotherapy and radiotherapy were performed resulting in complete remission of the disease. In October 2001, she complained of pain and numbness of her left arm. Magnetic resonance imaging (MRI) of the neck showed an intramedullary enhanced mass at the C4-5 level. Specimen obtained by tumor biopsy showed pathological diagnosis of metastasis from small cell lung cancer. Neurological symptoms improved after radiochemotherapy. Intramedullary metastasis of lung cancer is very rare, and early diagnosis and multidisciplinary treatment may improve quality of life.
一名69岁女性于2001年2月被诊断为局限期小细胞肺癌。进行了全身化疗和放疗，疾病完全缓解。2001年10月，她主诉左臂疼痛和麻木。颈部磁共振成像（MRI）显示C4 - 5水平有髓内强化肿块。肿瘤活检获取的标本病理诊断为小细胞肺癌转移。放化疗后神经症状改善。肺癌髓内转移非常罕见，早期诊断和多学科治疗可能改善生活质量。
