TITLE:
Intramedullary Spinal Cord Metastases in Breast Cancer: Report a Case
AUTHORS:
Masahiro Kitada, Nana Takahashi, Shunsuke Yasuda, Satoshi Okazaki, Kei Ishibashi, Satoshi Hayashi
KEYWORDS:
Breast Cancer, Intramedullary Spinal Cord Metastasis (Iscm), Brain Metastasis
JOURNAL NAME:
Journal of Cancer Therapy,
Vol.7 No.13,
December
20,
2016
ABSTRACT: Background: Intramedullary
spinal cord metastasis (ISCM) from breast cancer is a relatively rare disease.
We present this disease. Case presentation: The
patient was a 67-year-old woman with lung metastasis appearing 3 years after
breast cancer surgery. Complete remission was achieved for the metastatic
lesion with chemotherapy, but multiple cerebellar metastases were found 3
months after the completion of chemotherapy. Whole-brain irradiation was
administered, resulting in symptomatic improvement. Approximately 6 months
later, the patient experienced weakness in the lower extremities and difficulty
walking. Magnetic resonance imaging detected a well-defined intraspinal tumor
measuring 13 × 13 × 30 mm at the level of Th12-L1. After 20-Gy irradiation to
the tumor, oral steroid administration, and rehabilitation, the patient
regained the ability to walk. Eight months have passed, to date, since these
interventions and the patient is currently receiving treatment for metastases
to bones, including the spine, but is still capable of walking without
difficulty. We herein report this case with a review of the relevant
literature. Conclusion: ISCM in the breast cancer is relatively rare. But, it
is the clinical condition which it should always place in the mind.