Scott Si, Antwi-Yeboah Y, Bucur Sd
Princess Royal Hospital, West Sussex, UK.
J Surg Case Rep. 2012 Jul 1;2012(7):5. doi: 10.1093/jscr/2012.7.5.
Carcinoid tumours are rare with an incidence of 5.25/100,000. They predominantly originate in the gastrointestinal tract (50-60%) or bronchopulmonary system (25-30%). Common sites of metastasis are lymph nodes, liver, lungs and bone. Spinal metastasis are rare, but has been reported in patients with symptoms of spinal cord compression including neurological deficits. We report a rare case of carcinoid metastasis with spinal cord compression, in a 63-year-old man, presenting with a one-year history of back pain without any neurological symptoms. The patient underwent a two-level decompressive laminectomy of T10 and T11 as well as piecemeal tumour resection. Post-operatively the patient made a good recovery without complications.
类癌肿瘤较为罕见，发病率为5.25/10万。它们主要起源于胃肠道（50 - 60%）或支气管肺系统（25 - 30%）。常见的转移部位是淋巴结、肝脏、肺和骨骼。脊柱转移很少见，但已有报道称患者出现脊髓压迫症状，包括神经功能缺损。我们报告一例罕见的类癌转移伴脊髓压迫病例，患者为一名63岁男性，有一年背痛病史，但无任何神经症状。该患者接受了T10和T11节段的两级减压椎板切除术以及肿瘤分块切除术。术后患者恢复良好，无并发症。
