[Spinal cord compression by epidural metastases of urologic tumors].
We report our experience of 5 consecutive cases of acute spinal cord compression from epidural metastasis of genitourinary tumors seen over a period of 14 months. Three patients developed paraplegia and the remaining two patients developed paraparesis of the lower extremities. Four patients underwent emergency decompression laminectomy and the remaining patient received spot radiotherapy to the metastatic vertebral lesion. The degree of neurologic deterioration and its rapid progression to the more severe forms have significantly influenced patient quality of life and survival. The literature is reviewed highlighting the epidemiological, physiopathological, clinical, diagnostic and therapeutic aspects of this condition.
Diego García
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Cátedra y Servicio de Urología. Hospital Clínico Universitario, San Carlos Madrid, España.
Silmi Moyano
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Paez Borda
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Castaño
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Prieto Chaparro
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Gómez Ruiz
J J
JJ
Corral Rosillo
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Páramo González
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Salinas Casado
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Usón Calvo
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D000230:Adenocarcinoma / Q000150:complications / Q000175:diagnosis / Q000556:secondary*; D000368:Aged; D002295:Carcinoma, Transitional Cell / Q000175:diagnosis / Q000556:secondary*; D015174:Epidural Neoplasms / Q000150:complications / Q000556:secondary*; D005260:Female; D006801:Humans; D015994:Incidence; D007680:Kidney Neoplasms / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D009382:Neoplasms, Unknown Primary / Q000175:diagnosis; D010264:Paraplegia / Q000209:etiology; D011471:Prostatic Neoplasms / Q000175:diagnosis / Q000473:pathology*; D013117:Spinal Cord Compression / Q000453:epidemiology / Q000209:etiology* / Q000601:surgery; D001749:Urinary Bladder Neoplasms / Q000175:diagnosis / Q000473:pathology*; D001750:Urinary Bladder, Neurogenic / Q000209:etiology
Síndrome de compresión medular por metástasis epidurales de tumores urológicos.