Metastatic gastrointestinal stromal tumor to the thoracic and lumbar spine: first reported case and surgical treatment.
BACKGROUND
Metastatic epidural spinal cord compression from gastrointestinal stromal tumors (GISTs) is a rarely reported phenomenon.


OBJECTIVE
To describe the surgical management of metastatic GIST to two noncontiguous regions of the spinal column.


METHODS
Case report.


METHODS
Review of the medical chart, radiographic studies, and relevant literature.


RESULTS
The patient underwent direct surgical decompression and stabilization of the cervicothoracic junction and the lumbar region during treatment of two distinct sites of metastatic pathology.


CONCLUSIONS
Treatment of epidural compression from metastatic GIST with direct decompression and stabilization is safe and feasible.
Department of Neurological Surgery, Feinberg School of Medicine, Northwestern University, 600 N Lake Shore Dr, #3204, Chicago, IL 60611, USA. n-slimack@md.northwestern.edu
Nicholas P
NP
Slimack
John C
JC
Liu
Tyler
T
Koski
Jamal
J
McClendon
Brian A
BA
O'Shaughnessy
D000328:Adult; D019299:Decompression, Surgical; D004379:Duodenal Neoplasms / Q000473:pathology* / Q000601:surgery; D046152:Gastrointestinal Stromal Tumors / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary / Q000601:surgery; D008159:Lumbar Vertebrae; D008297:Male; D013117:Spinal Cord Compression / Q000209:etiology / Q000601:surgery; D013123:Spinal Fusion; D013125:Spinal Neoplasms / Q000150:complications / Q000556:secondary* / Q000601:surgery; D013904:Thoracic Vertebrae