Intramedullary Spinal Cord Solitary Metastasis as the Inaugural Presentation of Colorectal Cancer: A Case Report

Mafalda Mendes-Pinto, Joana Parra, Orlando Galego, Bruno Costa-Gomes, Marta Costa, Ricardo Veiga, Helena Gens

Abstract


This is a case report of intramedullary spinal cord metastasis (ISCM) of a colorectal cancer (CRC). A 67-year-old male with no relevant medical history presented with paresthesias in the lower limbs and paraparesis for 7 days. Thoracic spinal cord magnetic resonance imaging (MRI) demonstrated an oval intramedullary lesion suggestive of metastatic lesion. Primary tumor was a rectosigmoid transition zone invasive adenocarcinoma. He had a rapidly progressive neurological condition and became paraplegic with urinary and fecal incontinence. A conservative approach was performed, with spinal cord radiotherapy and derivate colostomy. The patient died 3 months later. This case report describes ISCM from CRC. Although it represents a rare clinical entity, we must be alert in order to achieve the earliest possible diagnosis trying to preserve the patient’s quality of life.




J Med Cases. 2017;8(1):11-13
doi: https://doi.org/10.14740/jmc2697w

Keywords


Rectosigmoid transition zone; Spinal cord; Intramedullary lesion; Metastatic disease; Magnetic resonance imaging

Full Text: HTML PDF
 

Browse  Journals  

 

Journal of Clinical Medicine Research

Journal of Endocrinology and Metabolism

Journal of Clinical Gynecology and Obstetrics

 

World Journal of Oncology

Gastroenterology Research

Journal of Hematology

 

Journal of Medical Cases

Journal of Current Surgery

Clinical Infection and Immunity

 

Cardiology Research

World Journal of Nephrology and Urology

Cellular and Molecular Medicine Research

 

Journal of Neurology Research

International Journal of Clinical Pediatrics

 

 
       
 

Journal of Medical Cases, monthly, ISSN 1923-4155 (print), 1923-4163 (online), published by Elmer Press Inc.                     
The content of this site is intended for health care professionals.
This is an open-access journal distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted
non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons Attribution license (Attribution-NonCommercial 4.0 International CC-BY-NC 4.0)


This journal follows the International Committee of Medical Journal Editors (ICMJE) recommendations for manuscripts submitted to biomedical journals,
the Committee on Publication Ethics (COPE) guidelines, and the Principles of Transparency and Best Practice in Scholarly Publishing.

website: www.journalmc.org   editorial contact: editor@journalmc.org
Address: 9225 Leslie Street, Suite 201, Richmond Hill, Ontario, L4B 3H6, Canada

© Elmer Press Inc. All Rights Reserved.