Intramedullary spinal cord and leptomeningeal metastases in a patient with carcinoma of the uterine cervix |
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Authors: | Kastritis E Moulopoulos L A Politi Ek Kostis E Pissakas G Dimopoulos M A Bamias A |
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Affiliation: | Department of Clinical Therapeutics, Alexandra Hospital, Athens University School of Medicine, 31 Komninon St, Haidari, 124 62 Athens, Greece. |
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Abstract: | BACKGROUND.: Neoplastic meningitis in patients with carcinoma of the uterine cervix is unusual in the course of their diseases. Even more unusual are intramedullary spinal metastases. CASE: We report the case of a 64-year-old woman who presented with leptomeningeal and intramedullary spinal cord metastases from a grade 2 squamous cell cancer of the uterine cervix. This is just the second case of intramedullary metastases from cervical carcinoma. CONCLUSION: Neoplastic meningitis or intramedullary metastases are extremely rare in the course of uterine cervix carcinoma. Nevertheless, when indicated by symptoms, patients should undergo MRI of the brain and/or spine and have a lumbar puncture performed, for the diagnosis of this devastating complication. Treatment is mainly palliative but may offer symptom relief. |
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