Solitary Spinal Epidural Metastasis from Gastric Cancer
Solitary epidural space metastasis of a malignant tumor is rare. We encountered a 79-year-old male patient with solitary metastatic epidural tumor who developed paraplegia and dysuria. The patient had undergone total gastrectomy for gastric cancer followed by chemotherapy 8 months priorly. The whole...
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Format: | Article |
Language: | English |
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Wiley
2016-01-01
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Series: | Case Reports in Orthopedics |
Online Access: | http://dx.doi.org/10.1155/2016/1591269 |
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author | Taisei Sako Yasuaki Iida Yuichirou Yokoyama Shintaro Tsuge Keiji Hasegawa Akihito Wada Tetsuo Mikami Hiroshi Takahashi |
author_facet | Taisei Sako Yasuaki Iida Yuichirou Yokoyama Shintaro Tsuge Keiji Hasegawa Akihito Wada Tetsuo Mikami Hiroshi Takahashi |
author_sort | Taisei Sako |
collection | DOAJ |
description | Solitary epidural space metastasis of a malignant tumor is rare. We encountered a 79-year-old male patient with solitary metastatic epidural tumor who developed paraplegia and dysuria. The patient had undergone total gastrectomy for gastric cancer followed by chemotherapy 8 months priorly. The whole body was examined for suspected metastatic spinal tumor, but no metastases of the spine or important organs were observed, and a solitary mass was present in the thoracic spinal epidural space. The mass was excised for diagnosis and treatment and was histopathologically diagnosed as metastasis from gastric cancer. No solitary metastatic epidural tumor from gastric cancer has been reported in English. Among the Japanese, 3 cases have been reported, in which the outcome was poor in all cases and no definite diagnosis could be made before surgery in any case. Our patient developed concomitant pneumonia after surgery and died shortly after the surgery. When a patient has a past medical history of malignant tumor, the possibility of a solitary metastatic tumor in the epidural space should be considered. |
format | Article |
id | doaj-art-13d5d209747145b094a6bc55a69f3113 |
institution | Kabale University |
issn | 2090-6749 2090-6757 |
language | English |
publishDate | 2016-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Orthopedics |
spelling | doaj-art-13d5d209747145b094a6bc55a69f31132025-02-03T01:07:15ZengWileyCase Reports in Orthopedics2090-67492090-67572016-01-01201610.1155/2016/15912691591269Solitary Spinal Epidural Metastasis from Gastric CancerTaisei Sako0Yasuaki Iida1Yuichirou Yokoyama2Shintaro Tsuge3Keiji Hasegawa4Akihito Wada5Tetsuo Mikami6Hiroshi Takahashi7Department of Orthopaedic Surgery, Toho University School of Medicine, Tokyo, JapanDepartment of Orthopaedic Surgery, Toho University School of Medicine, Tokyo, JapanDepartment of Orthopaedic Surgery, Toho University School of Medicine, Tokyo, JapanDepartment of Orthopaedic Surgery, Toho University School of Medicine, Tokyo, JapanDepartment of Orthopaedic Surgery, Toho University School of Medicine, Tokyo, JapanDepartment of Orthopaedic Surgery, Toho University School of Medicine, Tokyo, JapanDepartment of Pathology, Toho University School of Medicine, Tokyo, JapanDepartment of Orthopaedic Surgery, Toho University School of Medicine, Tokyo, JapanSolitary epidural space metastasis of a malignant tumor is rare. We encountered a 79-year-old male patient with solitary metastatic epidural tumor who developed paraplegia and dysuria. The patient had undergone total gastrectomy for gastric cancer followed by chemotherapy 8 months priorly. The whole body was examined for suspected metastatic spinal tumor, but no metastases of the spine or important organs were observed, and a solitary mass was present in the thoracic spinal epidural space. The mass was excised for diagnosis and treatment and was histopathologically diagnosed as metastasis from gastric cancer. No solitary metastatic epidural tumor from gastric cancer has been reported in English. Among the Japanese, 3 cases have been reported, in which the outcome was poor in all cases and no definite diagnosis could be made before surgery in any case. Our patient developed concomitant pneumonia after surgery and died shortly after the surgery. When a patient has a past medical history of malignant tumor, the possibility of a solitary metastatic tumor in the epidural space should be considered.http://dx.doi.org/10.1155/2016/1591269 |
spellingShingle | Taisei Sako Yasuaki Iida Yuichirou Yokoyama Shintaro Tsuge Keiji Hasegawa Akihito Wada Tetsuo Mikami Hiroshi Takahashi Solitary Spinal Epidural Metastasis from Gastric Cancer Case Reports in Orthopedics |
title | Solitary Spinal Epidural Metastasis from Gastric Cancer |
title_full | Solitary Spinal Epidural Metastasis from Gastric Cancer |
title_fullStr | Solitary Spinal Epidural Metastasis from Gastric Cancer |
title_full_unstemmed | Solitary Spinal Epidural Metastasis from Gastric Cancer |
title_short | Solitary Spinal Epidural Metastasis from Gastric Cancer |
title_sort | solitary spinal epidural metastasis from gastric cancer |
url | http://dx.doi.org/10.1155/2016/1591269 |
work_keys_str_mv | AT taiseisako solitaryspinalepiduralmetastasisfromgastriccancer AT yasuakiiida solitaryspinalepiduralmetastasisfromgastriccancer AT yuichirouyokoyama solitaryspinalepiduralmetastasisfromgastriccancer AT shintarotsuge solitaryspinalepiduralmetastasisfromgastriccancer AT keijihasegawa solitaryspinalepiduralmetastasisfromgastriccancer AT akihitowada solitaryspinalepiduralmetastasisfromgastriccancer AT tetsuomikami solitaryspinalepiduralmetastasisfromgastriccancer AT hiroshitakahashi solitaryspinalepiduralmetastasisfromgastriccancer |