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继发于乳腺腺癌的椎体转移伴脊髓空洞症:1例报告及文献复习

Vertebral Metastasis With Syringomyelia Secondary to Breast Adenocarcinoma: A Case Report and Literature Review.

作者信息

Abdelhalim Ahmed Reda, Ali Hossam Tharwat, Zakher Bishoy Adel Kamel, Ashour Yara

机构信息

Faculty of Medicine Alexandria University Alexandria Egypt.

Qena Faculty of Medicine South Valley University Qena Egypt.

出版信息

Clin Case Rep. 2025 Jul 1;13(7):e70580. doi: 10.1002/ccr3.70580. eCollection 2025 Jul.

DOI:10.1002/ccr3.70580
PMID:40600204
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12210029/
Abstract

Syringomyelia has several possible causes, commonly including Chiari malformation, spinal cord tumors and injuries, and damage caused by lesions around the spinal cord. A 34-year-old female was diagnosed with primary breast cancer and vertebral metastasis and was initiated on an extensive regimen of chemotherapy and radiotherapy. A few months later, she developed numbness and weakness in her lower limbs, and she was concluded to have syringomyelia with surrounding atrophic myelopathy along with vertebral metastasis. Patients developing neurological symptoms following radiotherapy or chemotherapy should be thoroughly evaluated, and further cases should be reported in the literature.

摘要

脊髓空洞症有多种可能的病因,常见的包括Chiari畸形、脊髓肿瘤和损伤,以及脊髓周围病变引起的损害。一名34岁女性被诊断为原发性乳腺癌并伴有椎体转移,开始接受广泛的化疗和放疗方案。几个月后,她出现下肢麻木和无力,最终被诊断为脊髓空洞症伴周围萎缩性脊髓病以及椎体转移。放疗或化疗后出现神经症状的患者应进行全面评估,更多病例应在文献中报道。

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本文引用的文献

1
Artificial intelligence versus radiologists in detecting early-stage breast cancer from mammograms: a meta-analysis of paradigm shifts.人工智能与放射科医生在通过乳房X光检查检测早期乳腺癌方面的比较:范式转变的荟萃分析
Pol J Radiol. 2025 Jan 6;90:e1-e8. doi: 10.5114/pjr/195520. eCollection 2025.
2
Unexpected and Rare Sites of Metastasis in Oncologic Patients.肿瘤患者转移的意外和罕见部位
J Clin Med. 2023 Oct 10;12(20):6447. doi: 10.3390/jcm12206447.
3
A Rare Case of Duodenal Metastasis from Lobular Breast Cancer: From Diagnosis to Surgery.
一例罕见的小叶性乳腺癌十二指肠转移病例:从诊断到手术
Case Rep Oncol. 2023 May 31;16(1):391-396. doi: 10.1159/000530603. eCollection 2023 Jan-Dec.
4
Advanced Breast Cancer Definitions by Staging System Examined in the Breast Cancer Surveillance Consortium.在乳腺癌监测联盟中检查的基于分期系统的晚期乳腺癌定义。
J Natl Cancer Inst. 2021 Jul 1;113(7):909-916. doi: 10.1093/jnci/djaa176.
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Changes in vascular permeability in the spinal cord contribute to chemotherapy-induced neuropathic pain.脊髓血管通透性的改变导致化疗引起的神经性疼痛。
Brain Behav Immun. 2020 Jan;83:248-259. doi: 10.1016/j.bbi.2019.10.018. Epub 2019 Oct 24.
6
Asymptomatic syringomyelia accompanied with metastatic cerebellar and spinal intramedullary lymphoma: A case report.无症状性脊髓空洞症伴小脑及脊髓髓内转移性淋巴瘤:一例报告
Medicine (Baltimore). 2017 Nov;96(46):e8593. doi: 10.1097/MD.0000000000008593.
7
Characterisation of Immune and Neuroinflammatory Changes Associated with Chemotherapy-Induced Peripheral Neuropathy.化疗诱导的周围神经病变相关免疫和神经炎症变化的特征分析
PLoS One. 2017 Jan 26;12(1):e0170814. doi: 10.1371/journal.pone.0170814. eCollection 2017.
8
Update on the pathophysiology and management of syringomyelia unrelated to Chiari malformation.与Chiari畸形无关的脊髓空洞症的病理生理学与治疗进展
Neurologia (Engl Ed). 2019 Jun;34(5):318-325. doi: 10.1016/j.nrl.2016.09.010. Epub 2016 Dec 9.
9
Pathobiology of radiation myelopathy and strategies to mitigate injury.放射性脊髓病的病理生物学及减轻损伤的策略。
Spinal Cord. 2015 Aug;53(8):574-80. doi: 10.1038/sc.2015.43. Epub 2015 Mar 24.
10
Syrinx associated with an intramedullary metastasis.与髓内转移相关的空洞。
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