Intramedullary Spinal Cord Metastasis of Bladder Carcinoma: A Case ReportZümre Arican Alicikus1, Nesrin Dagdelen1*, Ilknur Bilkay Görken1, Tülay Canda2 and Ugur Mungan3
- *Corresponding Author:
- Nesrin Dagdelen
Dokuz Eylül University Medical Faculity
Department of Radiation Oncology, Balçova- Izmir, Turkey
Tel: (0090) 5056107388
E-mail: [email protected]
Received date: May 20, 2014; Accepted date: June 26, 2014; Published date: June 30, 2014
Citation: Alicikus ZA, Dagdelen N, Görken IB, Canda T, Mungan U (2014) Intramedullary Spinal Cord Metastasis of Bladder Carcinoma: A Case Report. J Palliat Care Med 4:179. doi:10.4172/2165-7386.1000179
Copyright: © 2014 Alicikus ZA, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Objective: Intramedullary spinal cord metastasis (ISCM) is a rare type of central nervous system involvement of cancer and there are only two cases of bladder cancer's ISCM in literature. This is the third one presenting with an ISCM of bladder cancer, but is the only one presenting without any additional metastases.
Clinical information: A 76-year-old man had radical radiotherapy and adjuvant chemotherapy for bladder cancer four months ago, and was with no evidence of disease. He suffered from sudden severe pain on his neck and progressive weakness of the extremities. The deep tendon reflexes were hypoactive in upper extremities and absent in lower extremities. There was no other neurological deficit. Magnetic resonance imaging scan revealed an enhancing intramedullary lesion at the level of third cervical vertebra with peritumoural edema. Immediately, his corticotherapy was started and subtotal mass resection with laminectomy was performed. The pathological examination showed a metastatic carcinoma of the bladder cancer. Then, he had fractionated external beam radiotherapy to the cervical region with corticotherapy. After two months with a better neurological state, his clinical state worsened and he died of a cardiopulmonary arrest.
Conclusion: There is no consensus on the best therapy, however, it can be well palliated with combination therapy of surgery, irradiation and corticosteroids.