Radicular involvement and medullary invasion from a malignant mesothelioma.
We present the case of a 57-year-old patient who had worked at a fiber-cement factory for 28 years. The patient developed an epithelioid-type pleural mesothelioma 5 years after retiring, after he was diagnosed with asbestosis. Only 5 months after the diagnosis of mesothelioma, a medullar section appeared to be totally invaded by a tumor in the medullar canal, thus causing paraplegia and affecting the bladder and anal sphincters. The patient underwent radiotherapy and chemotherapy, and achieved partial recovery, but died 9 months after the diagnosis.
Respiratory Unit, Valme University Hospital, Seville, Spain. nmljrb@valme.sas.cica.es
J L
JL
Rojas
I
I
Alfageme
I
I
De la Cruz
N
N
Reyes
J
J
Muñoz
D000971:Antineoplastic Combined Chemotherapy Protocols / Q000008:administration & dosage; D001195:Asbestosis / Q000150:complications*; D003131:Combined Modality Therapy; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008654:Mesothelioma / Q000175:diagnosis / Q000209:etiology / Q000556:secondary* / Q000628:therapy; D008875:Middle Aged; D010166:Palliative Care / Q000379:methods*; D010997:Pleural Neoplasms / Q000175:diagnosis / Q000209:etiology / Q000473:pathology* / Q000628:therapy; D018700:Pleurodesis / Q000379:methods; D011878:Radiotherapy / Q000379:methods; D013120:Spinal Cord Neoplasms / Q000175:diagnosis / Q000556:secondary* / Q000628:therapy; D013125:Spinal Neoplasms / Q000556:secondary* / Q000628:therapy; D013904:Thoracic Vertebrae; D014057:Tomography, X-Ray Computed