Intramedullary Spinal Cord Metastasis From Rectal Cancer.
- Author:
Kyung Ho YANG
1
;
Hye Ran LEE
;
Seong Yoon YI
;
Joo Hyuk JUNG
;
Seung Hee KANG
;
Pyong Hwa CHOI
Author Information
- Publication Type:Case Report
- Keywords: Rectal neoplasms; Intramedullary spinal cord neoplasms; Radiotherapy
- MeSH: Aged; Breast Neoplasms; Central Nervous System; Colorectal Neoplasms; Drug Therapy; Humans; Hypesthesia; Korea; Leg; Lung; Lung Neoplasms; Magnetic Resonance Imaging; Neoplasm Metastasis*; Radiotherapy; Rectal Neoplasms*; Spinal Cord Neoplasms; Spinal Cord*; Steroids
- From:Annals of Coloproctology 2014;30(5):237-240
- CountryRepublic of Korea
- Language:English
- 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.
