Bennett E Emily, Berriochoa Camille, Habboub Ghaith, Brigeman Scott, Chao Samuel T, Angelov Lilyana
Department of Neurological Surgery.
Neurological Institute.
Neurosurg Focus. 2017 Jan;42(1):E10. doi: 10.3171/2016.9.FOCUS16254.
Stereotactic radiosurgery (SRS) has emerged as a treatment option for patients with spinal metastatic disease. Although SRS has been shown to be successful in a multitude of extradural metastatic tumors causing cord compression, very few cases of intradural treatment have been reported. The authors present a rare case of an intradural extramedullary metastatic small cell lung cancer lesion to the cervical spine resulting in cord compression in an area that had also been extensively pretreated with conventional external-beam radiation therapy. The patient underwent successful SRS to this metastatic site, with rapid and complete resolution of his lesion.
立体定向放射外科(SRS)已成为脊柱转移性疾病患者的一种治疗选择。尽管SRS已被证明在许多导致脊髓压迫的硬膜外转移性肿瘤治疗中取得成功,但硬膜内治疗的病例报道却很少。作者报告了一例罕见的病例,一名颈椎硬膜内髓外转移性小细胞肺癌病灶导致脊髓压迫,而该区域此前已接受过广泛的传统外照射放疗。患者对该转移部位成功进行了SRS治疗,病灶迅速完全消退。