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CC BY-NC-ND 4.0 · Asian J Neurosurg 2021; 16(03): 575-578
DOI: 10.4103/ajns.AJNS_42_21
Case Report

Isolated thoracic spine intramedullary metastasis from primary ovarian carcinoma: A rare case report

Kartik Multani
Department of Neurosurgery, Yashoda Superspeciality Hospital, Secunderabad, Telangana
,
Rahul Srinivasan
1   Department of Neurosurgery, Medical Trust Hospital, Kochi, Kerala
,
Komal Tejwan
2   Department of Obstetrics and Gynecology, Sri Aurobindo Institute of Medical Sciences, Indore, Madhya Pradesh
,
Boyina Rajesh
Department of Neurosurgery, Yashoda Superspeciality Hospital, Secunderabad, Telangana
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Ovarian carcinoma is one among the most commonly diagnosed cancer in women. Most commonly it metastasizes within peritoneal cavity by transcoelomic spread; distant metastasis to central nervous system through hematogenous spread is rare, and intramedullary spread is even rarer. Till date, only six reports have identified isolated intramedullary metastasis to spinal cord in a patient who were considered disease free on follow-up after treatment of primary disease; of which only two were in dorsal spine. The average time for diagnosis of intramedullary metastasis after diagnosis of primary disease was 26 months in previous reports. All were on regular follow-up, and clinicians were misleaded by normal CA-125 levels, and patients were considered disease free. This report is third in world literature case of isolated intramedullary dorsal spinal cord metastasis in a patient of primary ovarian carcinoma who was on follow-up with normal CA-125 levels and was treated with myelotomy and gross total resection of lesion + adjuvant chemotherapy and oral steroids. With our experience, we recommend keeping magnetic resonance imaging neuraxis to be done in follow-up of patients treated for high-grade ovarian carcinoma so that early diagnosis and prompt management can be given to patients that can improve their quality of life.

Key-words:

Distant ovarian metastasis - high-grade ovarian carcinoma - intramedullary spinal cord metastasis - intramedullary spinal tumors

Financial support and sponsorship

Nil.




Publikationsverlauf

Eingereicht: 30. Januar 2021

Angenommen: 20. März 2021

Artikel online veröffentlicht:
16. August 2022

© 2021. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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