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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Main Authors: Taisei Sako, Yasuaki Iida, Yuichirou Yokoyama, Shintaro Tsuge, Keiji Hasegawa, Akihito Wada, Tetsuo Mikami, Hiroshi Takahashi
Format: Article
Language:English
Published: Wiley 2016-01-01
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.
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institution Kabale University
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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
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AT shintarotsuge solitaryspinalepiduralmetastasisfromgastriccancer
AT keijihasegawa solitaryspinalepiduralmetastasisfromgastriccancer
AT akihitowada solitaryspinalepiduralmetastasisfromgastriccancer
AT tetsuomikami solitaryspinalepiduralmetastasisfromgastriccancer
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