Thoracic spinal cord compression secondary to metastatic synovial sarcoma: case report
Autor(a) principal: | |
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Data de Publicação: | 2009 |
Outros Autores: | , , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Coluna/Columna |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512009000200018 |
Resumo: | Synovial sarcoma is an uncommon malignant soft tissue neoplasm, occurring primarily in adolescents and young adults. It is prevalent in the periarticular soft tissues near large joints of the extremities and rarely involves the trunk. Metastases are not uncommon and usually involve the lungs; metastasis to the thoracic spine is rare. We report the case of a 47-year-old man with a history of synovial sarcoma of the lower back, with subsequent metastases to the lung, penis, and perineum (all previously resected), presenting with a 3-month history of low back pain and lower extremity paresthesias. Magnetic resonance imaging (MRI) demonstrated multiple lesions involving multiple contiguous vertebral bodies, with the mass at T12 compressing the spinal cord. The patient underwent T11-T12 laminectomy, transpedicular decompression, tumor debulking, and posterior fixation and fusion. The patient died six months later due to disease progression. Although not curative, decompression and stabilization of the spine are often necessary in patients who present spinal cord compression. |
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Thoracic spinal cord compression secondary to metastatic synovial sarcoma: case reportSarcoma, synovialNeoplasm metastasisSpinal cord compressionSpinal neoplasms/secondaryThoracic vertebrae/pathologyLaminectomySpinal fusionCase reportsSynovial sarcoma is an uncommon malignant soft tissue neoplasm, occurring primarily in adolescents and young adults. It is prevalent in the periarticular soft tissues near large joints of the extremities and rarely involves the trunk. Metastases are not uncommon and usually involve the lungs; metastasis to the thoracic spine is rare. We report the case of a 47-year-old man with a history of synovial sarcoma of the lower back, with subsequent metastases to the lung, penis, and perineum (all previously resected), presenting with a 3-month history of low back pain and lower extremity paresthesias. Magnetic resonance imaging (MRI) demonstrated multiple lesions involving multiple contiguous vertebral bodies, with the mass at T12 compressing the spinal cord. The patient underwent T11-T12 laminectomy, transpedicular decompression, tumor debulking, and posterior fixation and fusion. The patient died six months later due to disease progression. Although not curative, decompression and stabilization of the spine are often necessary in patients who present spinal cord compression.Sociedade Brasileira de Coluna2009-06-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512009000200018Coluna/Columna v.8 n.2 2009reponame:Coluna/Columnainstname:Sociedade Brasileira de Coluna (SBCO)instacron:SBCO10.1590/S1808-18512009000200018info:eu-repo/semantics/openAccessArnold,Paul M.Park,Michael C.Newell,KathyKepes,John J.Thrasher,J. Brantleyeng2010-01-19T00:00:00Zoai:scielo:S1808-18512009000200018Revistahttps://www.revistacoluna.org/ONGhttps://old.scielo.br/oai/scielo-oai.phpcoluna.columna@uol.com.br||revistacoluna@uol.com.br2177-014X1808-1851opendoar:2010-01-19T00:00Coluna/Columna - Sociedade Brasileira de Coluna (SBCO)false |
dc.title.none.fl_str_mv |
Thoracic spinal cord compression secondary to metastatic synovial sarcoma: case report |
title |
Thoracic spinal cord compression secondary to metastatic synovial sarcoma: case report |
spellingShingle |
Thoracic spinal cord compression secondary to metastatic synovial sarcoma: case report Arnold,Paul M. Sarcoma, synovial Neoplasm metastasis Spinal cord compression Spinal neoplasms/secondary Thoracic vertebrae/pathology Laminectomy Spinal fusion Case reports |
title_short |
Thoracic spinal cord compression secondary to metastatic synovial sarcoma: case report |
title_full |
Thoracic spinal cord compression secondary to metastatic synovial sarcoma: case report |
title_fullStr |
Thoracic spinal cord compression secondary to metastatic synovial sarcoma: case report |
title_full_unstemmed |
Thoracic spinal cord compression secondary to metastatic synovial sarcoma: case report |
title_sort |
Thoracic spinal cord compression secondary to metastatic synovial sarcoma: case report |
author |
Arnold,Paul M. |
author_facet |
Arnold,Paul M. Park,Michael C. Newell,Kathy Kepes,John J. Thrasher,J. Brantley |
author_role |
author |
author2 |
Park,Michael C. Newell,Kathy Kepes,John J. Thrasher,J. Brantley |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Arnold,Paul M. Park,Michael C. Newell,Kathy Kepes,John J. Thrasher,J. Brantley |
dc.subject.por.fl_str_mv |
Sarcoma, synovial Neoplasm metastasis Spinal cord compression Spinal neoplasms/secondary Thoracic vertebrae/pathology Laminectomy Spinal fusion Case reports |
topic |
Sarcoma, synovial Neoplasm metastasis Spinal cord compression Spinal neoplasms/secondary Thoracic vertebrae/pathology Laminectomy Spinal fusion Case reports |
description |
Synovial sarcoma is an uncommon malignant soft tissue neoplasm, occurring primarily in adolescents and young adults. It is prevalent in the periarticular soft tissues near large joints of the extremities and rarely involves the trunk. Metastases are not uncommon and usually involve the lungs; metastasis to the thoracic spine is rare. We report the case of a 47-year-old man with a history of synovial sarcoma of the lower back, with subsequent metastases to the lung, penis, and perineum (all previously resected), presenting with a 3-month history of low back pain and lower extremity paresthesias. Magnetic resonance imaging (MRI) demonstrated multiple lesions involving multiple contiguous vertebral bodies, with the mass at T12 compressing the spinal cord. The patient underwent T11-T12 laminectomy, transpedicular decompression, tumor debulking, and posterior fixation and fusion. The patient died six months later due to disease progression. Although not curative, decompression and stabilization of the spine are often necessary in patients who present spinal cord compression. |
publishDate |
2009 |
dc.date.none.fl_str_mv |
2009-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512009000200018 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512009000200018 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S1808-18512009000200018 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Coluna |
publisher.none.fl_str_mv |
Sociedade Brasileira de Coluna |
dc.source.none.fl_str_mv |
Coluna/Columna v.8 n.2 2009 reponame:Coluna/Columna instname:Sociedade Brasileira de Coluna (SBCO) instacron:SBCO |
instname_str |
Sociedade Brasileira de Coluna (SBCO) |
instacron_str |
SBCO |
institution |
SBCO |
reponame_str |
Coluna/Columna |
collection |
Coluna/Columna |
repository.name.fl_str_mv |
Coluna/Columna - Sociedade Brasileira de Coluna (SBCO) |
repository.mail.fl_str_mv |
coluna.columna@uol.com.br||revistacoluna@uol.com.br |
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1752126613349203968 |