Oktay Kadir, Guzel Ebru, Bitiren Muharrem, Simsek Serkan, Yildirim Mustafa, Guzel Aslan
Department of Neurosurgery, Gaziantep Medical Park Hospital, Gaziantep, Turkey.
Department of Radiology, Gaziantep Medical Park Hospital, Gaziantep, Turkey.
World Neurosurg. 2018 Dec;120:490-494. doi: 10.1016/j.wneu.2018.09.128. Epub 2018 Sep 26.
Root metastases of solid organ carcinomas are rare entities. Because of their rare occurrence, they can be confused with nerve sheath tumors, such as schwannomas or neurofibromas, when detected by magnetic resonance imaging. In this paper, we reported a case of a 72-year-old woman with S1 root metastasis originating from lung adenocarcinoma. In addition, we reviewed the literature and presented the diagnosis and treatment stages of this pathology. Surgical resection should be the main treatment for symptomatic metastases. Gross total resection of tumors is usually not possible with preservation of neurologic functions. Nerve root decompression, subtotal resection, and adjuvant treatments seem to represent the best treatment option for these patients.
实体器官癌的根部转移是罕见情况。由于其发生率低，通过磁共振成像检测到时，它们可能会与神经鞘瘤（如施万细胞瘤或神经纤维瘤）相混淆。在本文中，我们报告了一例72岁女性，其S1根部转移源自肺腺癌。此外，我们回顾了文献并介绍了该病理的诊断和治疗阶段。手术切除应是有症状转移的主要治疗方法。在保留神经功能的情况下，通常无法实现肿瘤的根治性切除。神经根减压、次全切除和辅助治疗似乎是这些患者的最佳治疗选择。
