Primary Intradural Extramedullary Spinal Melanoma in the Lower Thoracic Spine
Background Context. Up to date, only four cases of primary intradural extramedullary spinal cord melanoma (PIEM) have been reported. No previous reports have described a case of PIEM located in the lower thoracic spine with long-term follow-up. Purpose. Demonstrating an unusual, extremely rare case...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Oncological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2016/3815280 |
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| author | Kathrin Hering Anke Bresch Donald Lobsien Wolf Mueller Rolf-Dieter Kortmann Clemens Seidel |
| author_facet | Kathrin Hering Anke Bresch Donald Lobsien Wolf Mueller Rolf-Dieter Kortmann Clemens Seidel |
| author_sort | Kathrin Hering |
| collection | DOAJ |
| description | Background Context. Up to date, only four cases of primary intradural extramedullary spinal cord melanoma (PIEM) have been reported. No previous reports have described a case of PIEM located in the lower thoracic spine with long-term follow-up. Purpose. Demonstrating an unusual, extremely rare case of melanoma manifestation. Study Design. Case report. Methods. We report a case of a 57-year-old female suffering from increasing lower extremity pain, left-sided paresis, and paraesthesia due to spinal cord compression caused by PIEM in the lower thoracic spine. Results. Extensive investigation excluded other possible primary melanoma sites and metastases. For spinal cord decompression, the tumor at level T12 was resected, yet incompletely. Adjuvant radiotherapy was administered two weeks after surgery. The patient was recurrence-free at 104 weeks after radiotherapy but presents with unchanged neurological symptoms. Conclusion. Primary intradural extramedullary melanoma (PIEM) is extremely rare and its clinical course is unpredictable. |
| format | Article |
| id | doaj-art-87385cf238f94a8f8759893662165719 |
| institution | Kabale University |
| issn | 2090-6706 2090-6714 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Oncological Medicine |
| spelling | doaj-art-87385cf238f94a8f87598936621657192025-02-03T05:44:28ZengWileyCase Reports in Oncological Medicine2090-67062090-67142016-01-01201610.1155/2016/38152803815280Primary Intradural Extramedullary Spinal Melanoma in the Lower Thoracic SpineKathrin Hering0Anke Bresch1Donald Lobsien2Wolf Mueller3Rolf-Dieter Kortmann4Clemens Seidel5Department of Radiotherapy and Radiation Oncology, Leipzig University, Liebigstrasse 20, 04103 Leipzig, GermanyDepartment of Nuclear Medicine, Leipzig University, Liebigstrasse 20, 04103 Leipzig, GermanyDepartment of Neuroradiology, Leipzig University, Liebigstrasse 20, 04103 Leipzig, GermanyDepartment of Neuropathology, Leipzig University, Liebigstrasse 20, 04103 Leipzig, GermanyDepartment of Radiotherapy and Radiation Oncology, Leipzig University, Liebigstrasse 20, 04103 Leipzig, GermanyDepartment of Radiotherapy and Radiation Oncology, Leipzig University, Liebigstrasse 20, 04103 Leipzig, GermanyBackground Context. Up to date, only four cases of primary intradural extramedullary spinal cord melanoma (PIEM) have been reported. No previous reports have described a case of PIEM located in the lower thoracic spine with long-term follow-up. Purpose. Demonstrating an unusual, extremely rare case of melanoma manifestation. Study Design. Case report. Methods. We report a case of a 57-year-old female suffering from increasing lower extremity pain, left-sided paresis, and paraesthesia due to spinal cord compression caused by PIEM in the lower thoracic spine. Results. Extensive investigation excluded other possible primary melanoma sites and metastases. For spinal cord decompression, the tumor at level T12 was resected, yet incompletely. Adjuvant radiotherapy was administered two weeks after surgery. The patient was recurrence-free at 104 weeks after radiotherapy but presents with unchanged neurological symptoms. Conclusion. Primary intradural extramedullary melanoma (PIEM) is extremely rare and its clinical course is unpredictable.http://dx.doi.org/10.1155/2016/3815280 |
| spellingShingle | Kathrin Hering Anke Bresch Donald Lobsien Wolf Mueller Rolf-Dieter Kortmann Clemens Seidel Primary Intradural Extramedullary Spinal Melanoma in the Lower Thoracic Spine Case Reports in Oncological Medicine |
| title | Primary Intradural Extramedullary Spinal Melanoma in the Lower Thoracic Spine |
| title_full | Primary Intradural Extramedullary Spinal Melanoma in the Lower Thoracic Spine |
| title_fullStr | Primary Intradural Extramedullary Spinal Melanoma in the Lower Thoracic Spine |
| title_full_unstemmed | Primary Intradural Extramedullary Spinal Melanoma in the Lower Thoracic Spine |
| title_short | Primary Intradural Extramedullary Spinal Melanoma in the Lower Thoracic Spine |
| title_sort | primary intradural extramedullary spinal melanoma in the lower thoracic spine |
| url | http://dx.doi.org/10.1155/2016/3815280 |
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