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学科主题临床医学
Cauda equina syndrome caused by isolated spinal extramedullary-intradural cauda equina metastasis is the primary symptom of small cell lung cancer: a case report and review of the literatrure
Xiong, Jian; Zhang, Peixun
关键词Cauda equina syndrome small cell lung cancer extramedullary intradural spinal metastasis
刊名INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE
2015
8期:6页:10044-10050
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Medicine, Research & Experimental
研究领域[WOS]Research & Experimental Medicine
关键词[WOS]CARCINOID-TUMOR ; INFILTRATION ; DIAGNOSIS ; NEOPLASMS
英文摘要

Objectives: To describe a case of extramedullary-intradural metastases causing cauda equina syndrome (CES) as the primary syndrome of lung cancer, and to review the pertinent medical literature. Summary of Background Data: Intradural spinal metastasis is rare, accounting for 6% of all spinal metastases. Of all primary lesion types, lung carcinoma is about 40-85%. Extramedullary-intradural metastases of lung cancer causing CES is unusual. Methods: A 55-year-old patient with symptoms of low back pain that radiated to bilateral lower legs with painful paresthesias and piecemeal sphincter disturbances and lead to urinary incontinence, and constipation at last for three months. The MRI showed that there was an isolated, well-demarcated, intradural extramedullary mass at the L3, 4 levels. Results: The patient was admitted to the hospital as the severe cauda equina syndrome (CES) and considering the possibility of nerve system neoplasms for surgery. After a series of examinations, the X-ray and computed tomography (CT) detected a tumor in the left upper lobe with hilar and mediastinal lymph node metastases. The concluded diagnosis through histopathologic examination with immunohistochemistry after the patient received an L3-L4 laminectomy and tumor excision and biopsy was extramedullary-intradural spinal metastasis of the small cell lung cancer (SCLC). The patient had a rapid improvement of the CES. Conclusion: Although the majority of cauda equina tumors are primary tumors, extramedullary-intradural metastasis should be considered before surgery in patients with rapid developed CES.

语种英语
WOS记录号WOS:000359295600220
项目编号31271284 ; 31171150 ; 81171146 ; 30971526 ; 31100860 ; 31040043 ; 31371210 81372044 ; BMU20110270 ; 2014013542200 ; SS2015AA020501
资助机构Chinese National Natural Science Fund ; Chinese Educational Ministry New Century Excellent Talents Support Project ; Chinese National Ministry of Science and Technology 973 Project ; 863 Project
引用统计
被引频次:1[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/60286
专题北京大学第二临床医学院
北京大学第二临床医学院_创伤骨科
作者单位Peking Univ, Peoples Hosp, Dept Trauma & Orthopaed, Beijing 100871, Peoples R China
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GB/T 7714
Xiong, Jian,Zhang, Peixun. Cauda equina syndrome caused by isolated spinal extramedullary-intradural cauda equina metastasis is the primary symptom of small cell lung cancer: a case report and review of the literatrure[J]. INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE,2015,8(6):10044-10050.
APA Xiong, Jian,&Zhang, Peixun.(2015).Cauda equina syndrome caused by isolated spinal extramedullary-intradural cauda equina metastasis is the primary symptom of small cell lung cancer: a case report and review of the literatrure.INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE,8(6),10044-10050.
MLA Xiong, Jian,et al."Cauda equina syndrome caused by isolated spinal extramedullary-intradural cauda equina metastasis is the primary symptom of small cell lung cancer: a case report and review of the literatrure".INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE 8.6(2015):10044-10050.
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