胃癌继发的纯脊髓髓内转移

Pure intramedullary spinal cord metastasis secondary to gastric cancer.

作者信息

Gazzeri Roberto, Galarza Marcelo, Faiola Andrea, Gazzeri Giovanni

机构信息

UOD Neurochirurgia, Azienda Ospedaliera San Giovanni-Addolorata, Roma, Italy.

出版信息

Neurosurg Rev. 2006 Apr;29(2):173-7. doi: 10.1007/s10143-005-0015-3. Epub 2006 Feb 8.

DOI:10.1007/s10143-005-0015-3

PMID:16465555

Abstract

Pure intramedullary spinal-cord metastases (ISCM) are a rare manifestation of cancer. We report a case of ISCM from gastric cancer. A 68-year-old man, treated with total gastrectomy for a gastric cancer, presented 9 months later with paresis of the left arm, pain and dissociated sensory loss. Magnetic resonance imaging revealed a pure intramedullary lesion at the C3-C5 level. After surgical resection, pathological findings revealed an undifferentiated adenocarcinoma of gastric origin. To our knowledge, this is only the second report of ISCM from gastric cancer in the literature.

摘要

纯脊髓髓内转移瘤（ISCM）是癌症的一种罕见表现。我们报告一例胃癌导致的ISCM病例。一名68岁男性因胃癌接受了全胃切除术，9个月后出现左臂麻痹、疼痛和分离性感觉丧失。磁共振成像显示C3 - C5水平有一个纯髓内病变。手术切除后，病理结果显示为胃源性未分化腺癌。据我们所知，这是文献中第二例关于胃癌导致ISCM的报告。