Metastatic adenocarcinoma masquerading as a solitary nerve sheath tumour.
We present a case of a solitary metastasis of an adenocarcinoma to a dorsal root ganglion (DRG) following a disease free interval of 12 years after resection of a Duke's C carcinoma. The presentation of this unusually placed metastasis was associated with a 3-year complex pain syndrome and radiological appearances consistent with benign disease. The case highlights the importance of not dismissing unusual lesions as innocent in the presence of a history of malignant disease.
Wigfield
C C
CC
Department of Neurosurgery, Derriford Hospital, Plymouth, UK.
Hilton
D A
DA
Coleman
M G
MG
Whitfield
P C
PC
D000230:Adenocarcinoma / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery; D000328:Adult; D015179:Colorectal Neoplasms / Q000601:surgery; D003937:Diagnosis, Differential; D005727:Ganglia, Spinal; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D018317:Nerve Sheath Neoplasms / Q000175:diagnosis / Q000556:secondary*; D010524:Peripheral Nervous System Neoplasms / Q000175:diagnosis / Q000556:secondary*