Intramedullary spinal cord and leptomeningeal metastases in a patient with carcinoma of the uterine cervix.
BACKGROUND
: Neoplastic meningitis in patients with carcinoma of the uterine cervix is unusual in the course of their diseases. Even more unusual are intramedullary spinal metastases.


METHODS
We report the case of a 64-year-old woman who presented with leptomeningeal and intramedullary spinal cord metastases from a grade 2 squamous cell cancer of the uterine cervix. This is just the second case of intramedullary metastases from cervical carcinoma.


CONCLUSIONS
Neoplastic meningitis or intramedullary metastases are extremely rare in the course of uterine cervix carcinoma. Nevertheless, when indicated by symptoms, patients should undergo MRI of the brain and/or spine and have a lumbar puncture performed, for the diagnosis of this devastating complication. Treatment is mainly palliative but may offer symptom relief.
Department of Clinical Therapeutics, Alexandra Hospital, Athens University School of Medicine, 31 Komninon St, Haidari, 124 62 Athens, Greece.
E
E
Kastritis
L A
LA
Moulopoulos
Ek
E
Politi
E
E
Kostis
G
G
Pissakas
M A
MA
Dimopoulos
A
A
Bamias
D005260:Female; D006801:Humans; D018810:Magnetic Resonance Angiography; D008577:Meningeal Neoplasms / Q000556:secondary*; D008875:Middle Aged; D013120:Spinal Cord Neoplasms / Q000556:secondary*; D002583:Uterine Cervical Neoplasms / Q000473:pathology*