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转移性神经根肿瘤:一例报告及文献综述

Metastatic nerve root tumor: A case report and literature review.

作者信息

Li Long, Wu Yuan, Hu Liu, Xu Hongbin, He Haicui, Hu Desheng

机构信息

Department of Radiation Oncology, Hubei Cancer Hospital, Wuhan, Hubei 430079, P.R. China.

出版信息

Mol Clin Oncol. 2016 Jun;4(6):1039-1040. doi: 10.3892/mco.2016.852. Epub 2016 Apr 7.

Abstract

Nerve root metastasis of cancer has been rarely reported. We herein report the case of a cervical cancer patient with metastasis to peripheral nerve roots. A 47 year-old woman with cervical squamous cell carcinoma was admitted to our department with a 6-month history of right leg pain, and was investigated for cancer recurrence. Magnetic resonance imaging revealed lymph node metastasis near the right iliac blood vessels; the patient was then treated with chemotherapy with paclitaxel and carboplatin. However, the pain worsened and the muscle strength of her right leg decreased. On positron emission tomography/computed tomography scans, the sacral plexus L5/S1 and L4/5 nerves appeared thickened, suggesting nerve metastases. Intensity-modulated radiation therapy was applied, with notable clinical benefit. However, the patient succumbed to the disease 3 months later.

摘要

癌症神经根转移鲜有报道。我们在此报告一例宫颈癌患者发生外周神经根转移的病例。一名47岁的宫颈鳞状细胞癌女性因右腿疼痛6个月入住我科,接受癌症复发检查。磁共振成像显示右髂血管附近有淋巴结转移;随后患者接受了紫杉醇和卡铂化疗。然而,疼痛加剧,右腿肌力下降。在正电子发射断层扫描/计算机断层扫描中,骶丛L5/S1和L4/5神经增粗,提示神经转移。应用了调强放射治疗,临床效果显著。然而,患者3个月后死于该疾病。

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Metastatic nerve root tumor: A case report and literature review.转移性神经根肿瘤:一例报告及文献综述
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Management of recurrent cervical cancer: a review of the literature.复发性宫颈癌的治疗管理:文献综述。
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