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KMID : 0356720140300050237
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Journal of the Korean Society of Coloproctology
2014 Volume.30 No. 5 p.237 ~ p.240
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Intramedullary Spinal Cord Metastasis From Rectal Cancer
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Yang Kyung-Ho
Lee Hye-Ran
Yi Seong-Yoon
Jung Joo-Hyuk
Kang Seung-Hee
Choi Pyong-Hwa
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Abstract
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Intramedullary spinal cord metastasis (ISCM) is an uncommon condition of the central nervous system (CNS) cause by systemic malignant tumors. Most ISCM cases are known to occur in patients with lung cancer and breast cancer; however, ISCM also very rarely occurs in patients with colorectal cancer. For the first time in Korea, we experienced a case of ISCM arising from rectal cancer, where a 75-year-old man presented with an abruptly-developed left-foot drop and numbness in both legs. The patient had lung metastases from rectal cancer that had been treated with chemotherapy. Magnetic resonance imaging revealed an intramedullary nodular lesion at the T12 level. ISCM was diagnosed and treated with steroids and radiotherapy. The patient’s neurological symptoms were relieved for a while after treatment, but his condition deteriorated progressively. He died 4 months after ISCM had been diagnosed.
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KEYWORD
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Rectal neoplasms, Intramedullary spinal cord neoplasms, Radiotherapy
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