[Chordoma radicular metastasis following cerebrospinal fluid dissemination]. / Métastase radiculaire d'un chordome secondaire à une dissémination dans le liquide cérébrospinal.
Neurochirurgie
; 54(1): 41-5, 2008 Feb.
Article
em Fr
| MEDLINE
| ID: mdl-18308343
ABSTRACT
INTRODUCTION:
Chordoma metastases are usually found at advanced stages of the disease. The metastases occur generally in lung, bones, liver and lymph nodes. We report a rare case of radicular chordoma metastasis. CLINICAL CASE A 59-year-old man, operated for a clival chordoma six years ago, was admitted for atypical S1 radiculopathy. The MRI showed lumbar intradural tumor compressing the cauda equina. Surgery was performed.RESULTS:
After opening of the dura mater, the tumor was seen tightly attached to the nerve roots and was totally removed. The histological examination confirmed a metastasis of the known chordoma without local recurrence.CONCLUSION:
Chordomas are slowly growing, aggressive malignancies. Mostly complete microsurgical resection reduces local and distant recurrences. Intradural metastases are rare and follow cerebrospinal fluid dissemination from tumor cells. These metastases must be actively cured to achieve longer survival and better quality of life.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Neoplasias da Medula Espinal
/
Cordoma
/
Neoplasias da Base do Crânio
Tipo de estudo:
Etiology_studies
Limite:
Humans
/
Male
/
Middle aged
Idioma:
Fr
Ano de publicação:
2008
Tipo de documento:
Article