Lii F N, Chen Y M, Shu C H, Liu J M, Whang-Peng J
Department of Emergency Medicine, Veterans, General Hospital-Taipei, Taiwan, R.O.C.
Zhonghua Yi Xue Za Zhi (Taipei). 1995 Feb;55(2):195-8.
Nasopharyngeal carcinoma (NPC) with epidural metastasis of spinal cord has rarely been reported. We present an NPC patient with epidural spinal cord compression due to metastasis. In spite of emergent radiotherapy and large dose decadron treatment, this patient still had severe sequela of paraplegia and incontinence. The epidemiology, clinical findings, diagnosis, treatment and outcome of this metastatic epidural tumor compression were discussed.
鼻咽癌伴脊髓硬膜外转移鲜有报道。我们报告一例因转移导致硬膜外脊髓压迫的鼻咽癌患者。尽管进行了紧急放疗和大剂量地塞米松治疗,该患者仍遗留严重的截瘫和尿失禁后遗症。本文讨论了这种转移性硬膜外肿瘤压迫的流行病学、临床表现、诊断、治疗及预后。