title: Rapid and complete radiological resolution of an intradural cervical cord lung cancer metastasis treated with spinal stereotactic radiosurgery: case report.
abstract: Stereotactic radiosurgery (SRS) has emerged as a treatment option for patients with spinal metastatic disease. Although SRS has been shown to be successful in a multitude of extradural metastatic tumors causing cord compression, very few cases of intradural treatment have been reported. The authors present a rare case of an intradural extramedullary metastatic small cell lung cancer lesion to the cervical spine resulting in cord compression in an area that had also been extensively pretreated with conventional external-beam radiation therapy. The patient underwent successful SRS to this metastatic site, with rapid and complete resolution of his lesion.
authors.affiliation: Department of Neurological Surgery.|Neurological Institute.
authors.forename: E Emily
authors.initials: EE
authors.lastname: Bennett
authors.affiliation: Department of Radiation Oncology.|Taussig Cancer Institute, and.
authors.forename: Camille
authors.initials: C
authors.lastname: Berriochoa
authors.affiliation: Department of Neurological Surgery.|Neurological Institute.
authors.forename: Ghaith
authors.initials: G
authors.lastname: Habboub
authors.affiliation: Case Western Reserve University Medical School, Cleveland, Ohio.
authors.forename: Scott
authors.initials: S
authors.lastname: Brigeman
authors.affiliation: Department of Radiation Oncology.|Taussig Cancer Institute, and.|The Rose Ella Burkhardt Brain Tumor and Neuro-Oncology Center, Cleveland Clinic; and.
authors.forename: Samuel T
authors.initials: ST
authors.lastname: Chao
authors.affiliation: Department of Neurological Surgery.|Neurological Institute.|Taussig Cancer Institute, and.|The Rose Ella Burkhardt Brain Tumor and Neuro-Oncology Center, Cleveland Clinic; and.
authors.forename: Lilyana
authors.initials: L
authors.lastname: Angelov
mesh_terms: D066193:Cervical Cord / Q000601:surgery*; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology; D016634:Radiosurgery / Q000379:methods*; D055752:Small Cell Lung Carcinoma / Q000473:pathology; D013117:Spinal Cord Compression / Q000000981:diagnostic imaging / Q000209:etiology; D013125:Spinal Neoplasms / Q000556:secondary / Q000601:surgery*
keywords: BPI = Brief Pain Inventory; IMRT = intensity-modulated radiation therapy; RT = radiation therapy; SCLC = small cell lung cancer; SRS = stereotactic radiosurgery; WBRT = whole-brain RT; cEBRT = conventional external-beam radiation therapy; small cell lung carcinoma; spinal cord compression; spinal metastasis; spinal stereotactic radiosurgery