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KMID : 1141120200060020120
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The Nerve
2020 Volume.6 No. 2 p.120 ~ p.122
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Choroid Melanoma Metastasis to Lumbar Spine: A Case Report
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Kim Yeo-Song
Kim Jeong-Gyun
Rhee Jong-Joo
Lee Jong-Won
Lee Hyun-Koo
Hur Jin-Woo
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Abstract
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A 57-year-old woman visited our hospital with left flank pain and left anterior thigh and calf radiation pain. A lumbar spine magnetic resonance imaging (MRI) was showed that a heterogenous enhancing ventral epidural mass compressed the dura posteriorly at L3 level and totally enhanced L3 vertebral body. To reduce pain, L3 laminectomy, left facetectomy, and partial tumor removal with posterior pedicle screw fixation were performed. On examination, the tumor was soft and black-colored. After the operation, histopathological assessment confirmed malignant melanoma. The patient had a history of choroid malignant melanoma of the right eye diagnosed eight years previously. The patient underwent treatment at another hospital and achieved complete remission after five years. As follow-up was not performed, the metastasis was not detected earlier. To our knowledge, this is the first report of the lumbar spine as the main lesion location without thoracic or cervical spine symptoms.
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KEYWORD
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Choroid, Lumbar vertebrae, Melanoma, Neoplasm metastasis
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