Primary spinal melanoma: illustrative case.
J Neurosurg Case Lessons
; 2(20): CASE21542, 2021 Nov 15.
Article
en En
| MEDLINE
| ID: mdl-36061094
ABSTRACT
BACKGROUND:
Primary spinal melanoma is extremely rare, accounting for â¼1% of all primary melanomas. Typically presenting insidiously in the thoracic spinal cord, primary spinal melanomas can have an acute presentation due to their propensity to hemorrhage. OBSERVATIONS Despite its rarity, primary spinal melanoma should be included in the differential diagnosis when a hemorrhagic pattern of T1 and T2 intensities is seen on magnetic resonance imaging. Furthermore, the complete diagnosis is crucial because the prognosis of a primary spinal melanoma is considerably more favorable than that of a primary cutaneous melanoma with metastatic spread. LESSONS Resection is the treatment of choice, with some authors advocating for postoperative chemotherapy, immunotherapy, and/or radiation. We describe a case of acute quadriplegia from hemorrhagic primary spinal melanoma requiring resection.
Texto completo:
1
Base de datos:
MEDLINE
Tipo de estudio:
Prognostic_studies
Idioma:
En
Revista:
J Neurosurg Case Lessons
Año:
2021
Tipo del documento:
Article