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Intramedullary Spinal Cord Metastasis From Rectal Cancer

대한대장항문학회지 2014년 30권 5호 p.237 ~ 240
 ( Yang Kyung-Ho ) - Inje University Ilsan Paik Hospital Department of Internal Medicine

 ( Lee Hye-Ran ) - Inje University Ilsan Paik Hospital Department of Internal Medicine
 ( Yi Seong-Yoon ) - Inje University Ilsan Paik Hospital Department of Internal Medicine
 ( Jung Joo-Hyuk ) - Inje University Ilsan Paik Hospital Department of Internal Medicine
 ( Kang Seung-Hee ) - Inje University School of Medicine Department of Radiation Oncology
 ( Choi Pyong-Hwa ) - Inje University Ilsan Paik Hospital Department of General Surgery

Abstract


Intramedullary spinal cord metastasis (ISCM) is an uncommon condition of the central nervous system (CNS) cause by systemic malignant tumors. Most ISCM cases are known to occur in patients with lung cancer and breast cancer; however, ISCM also very rarely occurs in patients with colorectal cancer. For the first time in Korea, we experienced a case of ISCM arising from rectal cancer, where a 75-year-old man presented with an abruptly-developed left-foot drop and numbness in both legs. The patient had lung metastases from rectal cancer that had been treated with chemotherapy. Magnetic resonance imaging revealed an intramedullary nodular lesion at the T12 level. ISCM was diagnosed and treated with steroids and radiotherapy. The patient’s neurological symptoms were relieved for a while after treatment, but his condition deteriorated progressively. He died 4 months after ISCM had been diagnosed.

키워드

Rectal neoplasms; Intramedullary spinal cord neoplasms; Radiotherapy
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