Esthesioneuroblastoma metastatic to the thoracic intradural and extradural space.
Spine J
; 9(5): e1-5, 2009 May.
Article
en En
| MEDLINE
| ID: mdl-18805062
ABSTRACT
BACKGROUND CONTEXT Ethesioneuroblastoma (ENB) is a rare tumor of the olfactory epithelium that has been shown to metastasize mostly to the cervical lymphatics, with only infrequent spread to other locations. We report a rare case of ENB characterized by recurrence and distant metastasis to the T7-T8 intradural and extradural space. PURPOSE:
To report a rare case of recurrent ENB metastatic to the thoracic intradural and extradural space. STUDY DESIGN/SETTING:
Case report with a review of the literature.METHODS:
A 64-year-old man with recurrent ENB presented with chronic pain in the neck, shoulder, and back. His neurologic exam was normal. Computed tomography of the chest showed no pulmonary metastasis and a high-attenuation spinal canal mass at T8 was noted on magnetic resonance imaging. A laminectomy at T7-T8 was performed for resection of a large epidural mass. A tumor was seen penetrating through the dura, and a midline durotomy was performed for resection of a large intradural mass. Frozen section and permanent stains were consistent with metastatic ENB.RESULTS:
The postoperative period was uneventful, and included pain management and physical therapy, followed by chemotherapy and radiation. The patient remains free of spinal recurrence 2 years after surgery.CONCLUSIONS:
Metastasis of ENB to the spinal column is rare, and of those instances, 80% are localized to the cauda equina. Recurrent ENB metastatic to the thoracic intradural and extradural space is extremely rare, and was successfully treated with surgical resection.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Neoplasias de la Médula Espinal
/
Neoplasias Nasales
/
Estesioneuroblastoma Olfatorio
/
Espacio Epidural
/
Cavidad Nasal
Límite:
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Spine J
Asunto de la revista:
ORTOPEDIA
Año:
2009
Tipo del documento:
Article
País de afiliación:
Estados Unidos