Faugeras Laurence, Cantineau Gaetan, Daisne Jean-Francois, Gustin Thierry, D'hondt Lionel
Department of Medical Oncology, Centre Hospitalier Universitaire Dinant-Godinne, 1 Rue Dr G. Therasse, 5530, Yvoir, Belgium.
Department of Radiology, Centre Hospitalier Universitaire DinantMont-Godinne, Yvoir, Belgium.
BMC Res Notes. 2015 Feb 14;8:41. doi: 10.1186/s13104-015-0998-y.
Cholangiocarcinomas are rare tumors, and metastasis to the intramedullary spinal cord is also rare. To the best of our knowledge, this is the first case of simultaneous cholangiocarcinoma and intramedullary spinal cord metastasis to be described in the medical literature.
A 62-year-old Caucasian male with a cholangiocarcinoma presented pain around his left shoulder without any other symptoms. The results by magnetic resonance imaging and F18 fluorodeoxyglucose positron emission tomography/computer tomography revealed an intramedullary metastasis at the C4 level, with spinal cord compression, and numerous secondary parenchymal brain metastases.
This patient was treated successfully with a combination of radiotherapy, corticosteroids, and chemotherapy. He experienced complete relief of the symptoms and showed improvements upon subsequent radiological evaluations.
胆管癌是一种罕见的肿瘤，转移至脊髓髓内也很罕见。据我们所知，这是医学文献中首次描述的同时发生胆管癌和脊髓髓内转移的病例。
一名62岁的白种男性胆管癌患者出现左肩周围疼痛，无其他症状。磁共振成像和F18氟脱氧葡萄糖正电子发射断层扫描/计算机断层扫描结果显示，C4水平存在髓内转移，伴有脊髓压迫，以及大量脑实质继发性转移。
该患者通过放疗、皮质类固醇和化疗联合治疗成功。他的症状完全缓解，随后的影像学评估显示有所改善。
