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[脊髓和马尾转移瘤]

[Metastases to the spinal cord and cauda equina].

作者信息

Bayassi S, Franc Z

机构信息

Oddziału Neurochirurgii Wojewódzkiego Szpitala Zespolonego w Elblagu.

出版信息

Neurol Neurochir Pol. 1997 May-Jun;31(3):615-9.

PMID:9446052
Abstract

The authors present 3 rare cases of metastases to the spinal cord and cauda equina. In 2 cases the tumours were of epithelial, and in the third neuroepithelial origin. In one case the tumour was localized in the thoracic segment of spinal cord, and in the second case in the conus and cauda equina, whereas in the third at the cauda equina. The diagnosis was established by CT and myelography. Total removal of the tumour in the cauda equina was carried out. The most significant neurologic symptoms in the two cases were pain and paresis in one case. In our series the rate of metastases to intramedullary and cauda equina constitute 11.1% of all metastases to vertebral column and vertebral canal, and 8% of all epithelial metastases to central nervous system. Death were reported in all the patients within the 1st-5th month of diagnosis of tumour in the spinal cord.

摘要

作者报告了3例罕见的脊髓和马尾转移瘤病例。其中2例肿瘤起源于上皮组织,第3例起源于神经上皮组织。1例肿瘤位于脊髓胸段,第2例位于圆锥和马尾,第3例位于马尾。诊断通过CT和脊髓造影确定。对马尾的肿瘤进行了全切。2例患者最显著的神经症状为1例疼痛和轻瘫。在我们的系列研究中,髓内和马尾转移瘤的发生率占脊柱和椎管所有转移瘤的11.1%,占中枢神经系统所有上皮转移瘤的8%。所有患者均在脊髓肿瘤诊断后的第1至5个月内死亡。

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