A case of long-term survival after multimodal local treatments of intramedullary spinal cord metastasis of squamous cell lung cancer.
Intramedullary spinal cord metastasis of non-small cell lung cancer is rare, and it has a short prognosis. We report a 53-year-old man diagnosed with cT4N0M0, stage IIIA squamous cell lung cancer. Ten months after left pneumonectomy (pT4N0M0), an intramedullary spinal cord tumor developed at the axis level. The intramedullary spinal cord tumor was resected, and he was diagnosed with metastatic squamous cell lung cancer. Radiotherapies and another tumor resection were conducted, as he had a good performance status and the discrete lesion was associated with the risk of brain stem compression. Multimodal local treatments for intramedullary spinal cord metastasis caused the tumor to shrink, and he lived for 25 months after the spinal metastasis occurred.
Department of Internal Medicine, National Hospital Organization Kinki-chuo Chest Medical Center, Osaka, Japan ;
Shojiro
S
Minomo
Department of Psychosomatic Internal Medicine, National Hospital Organization Kinki-chuo Chest Medical Center, Osaka, Japan ;
Akihiro
A
Tokoro
Department of Surgery, National Hospital Organization Kinki-chuo Chest Medical Center, Osaka, Japan ;
Tomoki
T
Utsumi
Department of Neurosurgery, Osaka Rosai Hospital, Osaka, Japan; ; Department of Neurosurgery, Osaka University Graduate School of Medicine, Osaka, Japan;
Masahiro
M
Ishihara
Masanori
M
Akira
Shinji
S
Atagi
Lung neoplasms; multimodal treatment; neoplasm metastasis; spinal cord; squamous cells