Spinal Cord Compression by Testicular Germ Cell Tumor: Case Report
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1600 |
Resumo: | Malignant spinal cord compression occurs in 2.5% - 5% cancer patients. Early diagnosis and therapeutic intervention are critical for paincontrol and improvement of any neurological deficit. Treatment should be directed to the underlying disease together with appropriatesymptom management.The case of a man with tetraparesis of 24 hours duration is presented. He had surgery five days earlier because of a testicular tumor andspinal magnetic resonance imaging (MRI) showed spinal cord compression by a soft tissue mass between C7 and D2. After confirmingthe diagnosis of mixed germ cell tumor, stage IIIC, the patient began chemotherapy with progressive neurological improvement. Twoyears after diagnosis the patient presents a slight reduction of strength in the right hand and remains without any evidence of disease.This case illustrates the importance of early diagnosis of spinal cord compression and one of the main indications for the use of chemotherapyas the treatment for an oncologic emergency. |
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Spinal Cord Compression by Testicular Germ Cell Tumor: Case ReportCompressão Medular por Tumor de Células Germinativas do TestículoMalignant spinal cord compression occurs in 2.5% - 5% cancer patients. Early diagnosis and therapeutic intervention are critical for paincontrol and improvement of any neurological deficit. Treatment should be directed to the underlying disease together with appropriatesymptom management.The case of a man with tetraparesis of 24 hours duration is presented. He had surgery five days earlier because of a testicular tumor andspinal magnetic resonance imaging (MRI) showed spinal cord compression by a soft tissue mass between C7 and D2. After confirmingthe diagnosis of mixed germ cell tumor, stage IIIC, the patient began chemotherapy with progressive neurological improvement. Twoyears after diagnosis the patient presents a slight reduction of strength in the right hand and remains without any evidence of disease.This case illustrates the importance of early diagnosis of spinal cord compression and one of the main indications for the use of chemotherapyas the treatment for an oncologic emergency.A compressão medular maligna ocorre em 2,5% - 5% dos doentes com cancro. O diagnóstico e intervenção terapêutica urgentes sãofundamentais para o controlo da dor e melhoria dos défices neurológicos. O tratamento deve basear-se no controlo dos sintomas e dadoença oncológica de base.Apresenta-se o caso clínico de um homem com tetraparésia com evolução de 24 horas, cinco dias após orquidectomia por tumortesticular. A ressonância magnética (RMN) vertebral mostrou compressão medular por massa de tecidos moles entre C7 e D2. Confirmadoo diagnóstico de tumor de células germinativas de padrão misto, estádio IIIC, iniciou quimioterapia com melhoria neurológicaprogressiva. Dois anos após o diagnóstico, está funcionalmente autónomo, com discreta parésia da mão direita e em remissão dadoença oncológica.Este caso ilustra a importância do diagnóstico e tratamento precoce de compressão medular e demonstra uma das indicações pararealização de quimioterapia como tratamento de uma emergência oncológica.Ordem dos Médicos2013-01-28info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/x-pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1600oai:ojs.www.actamedicaportuguesa.com:article/1600Acta Médica Portuguesa; Vol. 25 No. 6 (2012): November-December; 461-465Acta Médica Portuguesa; Vol. 25 N.º 6 (2012): Novembro-Dezembro; 461-4651646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1600https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1600/1183Estevinho, FernandaSousa, NunoRodrigues, ÂngeloCarneiro, EduardaSouto, JoãoBegonha, RosaMaurício, Joaquinainfo:eu-repo/semantics/openAccess2022-12-20T10:58:14Zoai:ojs.www.actamedicaportuguesa.com:article/1600Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:17:15.897849Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Spinal Cord Compression by Testicular Germ Cell Tumor: Case Report Compressão Medular por Tumor de Células Germinativas do Testículo |
title |
Spinal Cord Compression by Testicular Germ Cell Tumor: Case Report |
spellingShingle |
Spinal Cord Compression by Testicular Germ Cell Tumor: Case Report Estevinho, Fernanda |
title_short |
Spinal Cord Compression by Testicular Germ Cell Tumor: Case Report |
title_full |
Spinal Cord Compression by Testicular Germ Cell Tumor: Case Report |
title_fullStr |
Spinal Cord Compression by Testicular Germ Cell Tumor: Case Report |
title_full_unstemmed |
Spinal Cord Compression by Testicular Germ Cell Tumor: Case Report |
title_sort |
Spinal Cord Compression by Testicular Germ Cell Tumor: Case Report |
author |
Estevinho, Fernanda |
author_facet |
Estevinho, Fernanda Sousa, Nuno Rodrigues, Ângelo Carneiro, Eduarda Souto, João Begonha, Rosa Maurício, Joaquina |
author_role |
author |
author2 |
Sousa, Nuno Rodrigues, Ângelo Carneiro, Eduarda Souto, João Begonha, Rosa Maurício, Joaquina |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Estevinho, Fernanda Sousa, Nuno Rodrigues, Ângelo Carneiro, Eduarda Souto, João Begonha, Rosa Maurício, Joaquina |
description |
Malignant spinal cord compression occurs in 2.5% - 5% cancer patients. Early diagnosis and therapeutic intervention are critical for paincontrol and improvement of any neurological deficit. Treatment should be directed to the underlying disease together with appropriatesymptom management.The case of a man with tetraparesis of 24 hours duration is presented. He had surgery five days earlier because of a testicular tumor andspinal magnetic resonance imaging (MRI) showed spinal cord compression by a soft tissue mass between C7 and D2. After confirmingthe diagnosis of mixed germ cell tumor, stage IIIC, the patient began chemotherapy with progressive neurological improvement. Twoyears after diagnosis the patient presents a slight reduction of strength in the right hand and remains without any evidence of disease.This case illustrates the importance of early diagnosis of spinal cord compression and one of the main indications for the use of chemotherapyas the treatment for an oncologic emergency. |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013-01-28 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
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publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1600 oai:ojs.www.actamedicaportuguesa.com:article/1600 |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1600 |
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oai:ojs.www.actamedicaportuguesa.com:article/1600 |
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por |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1600 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1600/1183 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/x-pdf |
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Ordem dos Médicos |
publisher.none.fl_str_mv |
Ordem dos Médicos |
dc.source.none.fl_str_mv |
Acta Médica Portuguesa; Vol. 25 No. 6 (2012): November-December; 461-465 Acta Médica Portuguesa; Vol. 25 N.º 6 (2012): Novembro-Dezembro; 461-465 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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