Malignant Spinal Cord Compression Syndrome as an Initial Presentation of Testicular Cancer
Malignant spinal cord compression syndrome (MSCCS) occurs in 2.5 to 5% of all oncological patients. In 20% of the cases, it is the initial manifestation. This syndrome is a rare event among germ cell tumors (GCT), occurring in only 1.7% of the patients. We present the case of a 24-year-old man who a...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Oncological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2018/5757434 |
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| author | Carlos Eduardo Salazar-Mejía Edio Llerena-Hernández David Hernández-Barajas Oscar Vidal-Gutiérrez Adriana González-Gutiérrez Rolando Jacob Martínez-Granados Blanca Otilia Wimer-Castillo |
| author_facet | Carlos Eduardo Salazar-Mejía Edio Llerena-Hernández David Hernández-Barajas Oscar Vidal-Gutiérrez Adriana González-Gutiérrez Rolando Jacob Martínez-Granados Blanca Otilia Wimer-Castillo |
| author_sort | Carlos Eduardo Salazar-Mejía |
| collection | DOAJ |
| description | Malignant spinal cord compression syndrome (MSCCS) occurs in 2.5 to 5% of all oncological patients. In 20% of the cases, it is the initial manifestation. This syndrome is a rare event among germ cell tumors (GCT), occurring in only 1.7% of the patients. We present the case of a 24-year-old man who arrived at the emergency department with dysesthesia and paraparesis as well as urinary incontinence. Imaging studies showed an infiltrative lesion in the left testicle, pulmonary and hepatic metastatic disease, and a large retroperitoneal ganglionar conglomerate that infiltrated the spinal cord through the intervertebral foramina of the vertebra level T11 with displacement of the L1 vertebral body. A postoperative biopsy showed a pure embryonal carcinoma. In the initial approach of a young man who presents spinal cord compression, the presence of MSCCS associated with GCT should be considered as a possible cause. A high level of suspicion is required to achieve a timely diagnosis, to grant the patient the best possible outcome. |
| format | Article |
| id | doaj-art-c0d4e06ddb44483e8bdbcd583c146b72 |
| institution | Kabale University |
| issn | 2090-6706 2090-6714 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Oncological Medicine |
| spelling | doaj-art-c0d4e06ddb44483e8bdbcd583c146b722025-02-03T05:59:05ZengWileyCase Reports in Oncological Medicine2090-67062090-67142018-01-01201810.1155/2018/57574345757434Malignant Spinal Cord Compression Syndrome as an Initial Presentation of Testicular CancerCarlos Eduardo Salazar-Mejía0Edio Llerena-Hernández1David Hernández-Barajas2Oscar Vidal-Gutiérrez3Adriana González-Gutiérrez4Rolando Jacob Martínez-Granados5Blanca Otilia Wimer-Castillo6Centro Universitario Contra el Cáncer, University Hospital “Dr. José Eleuterio González” and Faculty of Medicine, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, MexicoCentro Universitario Contra el Cáncer, University Hospital “Dr. José Eleuterio González” and Faculty of Medicine, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, MexicoCentro Universitario Contra el Cáncer, University Hospital “Dr. José Eleuterio González” and Faculty of Medicine, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, MexicoCentro Universitario Contra el Cáncer, University Hospital “Dr. José Eleuterio González” and Faculty of Medicine, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, MexicoCentro Universitario Contra el Cáncer, University Hospital “Dr. José Eleuterio González” and Faculty of Medicine, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, MexicoCentro Universitario Contra el Cáncer, University Hospital “Dr. José Eleuterio González” and Faculty of Medicine, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, MexicoCentro Universitario Contra el Cáncer, University Hospital “Dr. José Eleuterio González” and Faculty of Medicine, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, MexicoMalignant spinal cord compression syndrome (MSCCS) occurs in 2.5 to 5% of all oncological patients. In 20% of the cases, it is the initial manifestation. This syndrome is a rare event among germ cell tumors (GCT), occurring in only 1.7% of the patients. We present the case of a 24-year-old man who arrived at the emergency department with dysesthesia and paraparesis as well as urinary incontinence. Imaging studies showed an infiltrative lesion in the left testicle, pulmonary and hepatic metastatic disease, and a large retroperitoneal ganglionar conglomerate that infiltrated the spinal cord through the intervertebral foramina of the vertebra level T11 with displacement of the L1 vertebral body. A postoperative biopsy showed a pure embryonal carcinoma. In the initial approach of a young man who presents spinal cord compression, the presence of MSCCS associated with GCT should be considered as a possible cause. A high level of suspicion is required to achieve a timely diagnosis, to grant the patient the best possible outcome.http://dx.doi.org/10.1155/2018/5757434 |
| spellingShingle | Carlos Eduardo Salazar-Mejía Edio Llerena-Hernández David Hernández-Barajas Oscar Vidal-Gutiérrez Adriana González-Gutiérrez Rolando Jacob Martínez-Granados Blanca Otilia Wimer-Castillo Malignant Spinal Cord Compression Syndrome as an Initial Presentation of Testicular Cancer Case Reports in Oncological Medicine |
| title | Malignant Spinal Cord Compression Syndrome as an Initial Presentation of Testicular Cancer |
| title_full | Malignant Spinal Cord Compression Syndrome as an Initial Presentation of Testicular Cancer |
| title_fullStr | Malignant Spinal Cord Compression Syndrome as an Initial Presentation of Testicular Cancer |
| title_full_unstemmed | Malignant Spinal Cord Compression Syndrome as an Initial Presentation of Testicular Cancer |
| title_short | Malignant Spinal Cord Compression Syndrome as an Initial Presentation of Testicular Cancer |
| title_sort | malignant spinal cord compression syndrome as an initial presentation of testicular cancer |
| url | http://dx.doi.org/10.1155/2018/5757434 |
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