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[Lung adenocarcinoma with intramedullary spinal cord metastasis: a case report and review of the literature].

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[Lung adenocarcinoma with intramedullary spinal cord metastasis: a case report and review of the literature].

Rev Pneumol Clin. 2013 Jun;69(3):149-51

Authors: Belaid I, Jlassi H, Debbiche G, Rais H, Ben Ayed F

Abstract
Intramedullary spinal cord metastases are extremely rare and affect 0.1 to 0.4% of all cancer patients. We report the case of intramedullary metastases in a 42-year-old patient, 12 months after the initial diagnosis of a lung adenocarcinoma. The patient was on third-line chemotherapy for a progressive disease with node and bone metastases. He complained of weakness and difficulty walking. The MRI permitted confirmation of the diagnosis. Corticotherapy was started and the patient underwent radiotherapy. A targeted therapy was indicated. The patient died three months after the initiation of this treatment. The aim of this paper is to report a new case of intramedullary spinal cord metastases from a pulmonary adenocarcinoma, focus on its rarity and diagnostic and therapeutic difficulties through a review of the literature.

PMID: 23582264 [PubMed – indexed for MEDLINE]

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