Ann Coloproctol.  2014 Oct;30(5):237-240. 10.3393/ac.2014.30.5.237.

Intramedullary Spinal Cord Metastasis From Rectal Cancer

• Yang KH
• Lee HR
• Yi SY
• Jung JH
• Kang SH
• Choi PH

• KMID: 2263869
• DOI: http://doi.org/10.3393/ac.2014.30.5.237

Abstract

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.

Keyword

Rectal neoplasms; Intramedullary spinal cord neoplasms; Radiotherapy

MeSH Terms

Aged
Breast Neoplasms
Central Nervous System
Colorectal Neoplasms
Drug Therapy
Humans
Hypesthesia
Korea
Leg
Lung
Lung Neoplasms
Magnetic Resonance Imaging
Neoplasm Metastasis*
Radiotherapy
Rectal Neoplasms*
Spinal Cord Neoplasms
Spinal Cord*
Steroids
Steroids