2024-03-28T10:52:18Z
https://soar-ir.repo.nii.ac.jp/oai
oai:soar-ir.repo.nii.ac.jp:00008033
2022-12-14T04:00:33Z
882:883
Solitary Metastatic Cauda Equina Tumor From Breast Cancer - Case Report
Ito, Kiyoshi
Miyahara, Takahiro
Goto, Tetsuya
Horiuchi, Tetsuyoshi
Sakai, Keiichi
Hongo, Kazuhiro
Copyright© 2010 The Japan Neurosurgical Society / 本文データは学会の許諾に基づきJ-STAGEから転載したものである。
breast cancer
cauda equina
metastatic tumor
A 45-year-old woman presented with a rare case of metastatic cauda equina tumor from breast cancer without spinal column or brain metastasis. She had undergone resection of breast cancer 4 years previously. She presented with a 2-month history of severe low back pain. Magnetic resonance imaging showed a well-enhanced intradural extramedullary mass at the L1 level without other intradural lesions. At surgery, the tumor was partially removed to preserve the nerve root function under electrophysiological monitoring. The histological diagnosis was adenocarcinoma. The tumor was located in the subarachnoid space, suggesting hematogenous metastasis from the breast cancer. Postoperatively the pain subsided and no neurological deficit occurred. She underwent adjuvant therapy and rehabilitation. Cauda equina tumors may be relatively progressive regardless of imaging findings and clinical symptoms, so preoperative systemic investigation should be conducted, considering the possibility of metastatic tumor. A comprehensive therapeutic strategy involving adjuvant therapy after surgery is important to establish, considering the preservation of postoperative nerve function.
Article
NEUROLOGIA MEDICO-CHIRURGICA. 50(5):417-420 (2010)
JAPAN NEUROSURGICAL SOC
2010-05
eng
journal article
VoR
http://hdl.handle.net/10091/17636
https://soar-ir.repo.nii.ac.jp/records/8033
https://pubmed.ncbi.nlm.nih.gov/20505303
20505303
https://doi.org/10.2176/nmc.50.417
10.2176/nmc.50.417
0470-8105
AN00358613
NEUROLOGIA MEDICO-CHIRURGICA
50
5
417
420
https://soar-ir.repo.nii.ac.jp/record/8033/files/Solitary_Metastatic_Cauda_ Equina_Tumor.pdf
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