An Uncommon Intramedullary Tumor: Primary Spinal Cord Melanoma

被引:18
作者
Cetinalp, Nuri Eralp [1 ]
Yildirim, Ali Erdem [1 ]
Divanlioglu, Denizhan [1 ]
Belen, Deniz [1 ]
机构
[1] Ankara Numune Training & Res Hosp, Dept Neurosurg, Talatpasa Blvd 5, Ankara, Turkey
关键词
Spinal cord neoplasms; Intramedullary; Malignant melanoma;
D O I
10.4184/asj.2014.8.4.512
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
A 47-year-old woman was admitted with complaints of progressive weakness in the lower extremities and pain in the back and left leg. Thoracic magnetic resonance imaging (MRI) revealed a spinal intramedullary tumor between the T9 and L1 levels, which were iso- to hypointense on T2 and slightly hyperintense on T1-weighted images. The tumor was resected as total, and the diagnosis was malignant melanoma confirmed with histopathology. Neurological findings improved at the postoperative period and no residual or recurrence was noted on postoperative MRI at the 9-month follow-up. Primary melanoma of the spinal cord, particularly intramedullar localization, is seldomly reported in the literature. We report a primary malignant melanoma of the spinal cord and emphasize the diagnostic and prognostic challenges.
引用
收藏
页码:512 / 515
页数:4
相关论文
共 10 条
[1]   Primary melanocytic neoplasms of the central nervous system [J].
Brat, DJ ;
Giannini, C ;
Scheithauer, BW ;
Burger, PC .
AMERICAN JOURNAL OF SURGICAL PATHOLOGY, 1999, 23 (07) :745-754
[2]  
Farrokh D, 2001, AM J NEURORADIOL, V22, P1864
[3]   Primary Melanoma of the Spinal Cord: A Case Report, Molecular Footprint, and Review of the Literature [J].
Fuld, Alexander D. ;
Speck, Maren E. ;
Harris, Brent T. ;
Simmons, Nathan E. ;
Corless, Christopher L. ;
Tsongalis, Gregory J. ;
Pastel, David A. ;
Hartford, Alan C. ;
Ernstoff, Marc S. .
JOURNAL OF CLINICAL ONCOLOGY, 2011, 29 (17) :E499-E502
[4]   MALIGNANT-MELANOMA AND CENTRAL NERVOUS-SYSTEM - GUIDE FOR CLASSIFICATION BASED ON CLINICAL FINDINGS [J].
HAYWARD, RD .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1976, 39 (06) :526-530
[5]   Primary Spinal Cord Melanoma [J].
Kim, Min Soo ;
Yoon, Do Heum ;
Shin, Dong Ah .
JOURNAL OF KOREAN NEUROSURGICAL SOCIETY, 2010, 48 (02) :157-161
[6]   PRIMARY SPINAL MELANOMA [J].
LARSON, TC ;
HOUSER, OW ;
ONOFRIO, BM ;
PIEPGRAS, DG .
JOURNAL OF NEUROSURGERY, 1987, 66 (01) :47-49
[7]   Pathological and prognostic features of uveal melanomas [J].
McLean, IW ;
Saraiva, VS ;
Burnier, MN .
CANADIAN JOURNAL OF OPHTHALMOLOGY-JOURNAL CANADIEN D OPHTALMOLOGIE, 2004, 39 (04) :343-350
[8]   Long-Term Survival After Surgical Resection of Primary Spinal Malignant Melanoma -Case Report [J].
Nishihara, Masamitsu ;
Sasayama, Takashi ;
Kondoh, Takeshi ;
Tanaka, Kazuhiro ;
Kohmura, Eiji ;
Kudo, Hiroshi .
NEUROLOGIA MEDICO-CHIRURGICA, 2009, 49 (11) :546-548
[9]   PRIMARY MELANOMA OF CENTRAL NERVOUS SYSTEM - CLINICAL-PATHOLOGICAL REPORT OF A CASE, WITH SURVEY AND DISCUSSION OF LITERATURE [J].
PAPPENHEIM, E ;
BHATTACHARYA, SK .
ARCHIVES OF NEUROLOGY, 1962, 7 (02) :101-+
[10]   Direct decompressive surgical resection in the treatment of spinal cord compression caused by metastatic cancer: a randomised trial [J].
Patchell, RA ;
Tibbs, PA ;
Regine, WF ;
Payne, R ;
Saris, S ;
Kryscio, RJ ;
Mohiuddin, M ;
Young, B .
LANCET, 2005, 366 (9486) :643-648