Pancreatic cancer metastasis presenting as an arachnoid cyst of the cervical spine: a case report
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Jun-Yeong Seo · In-Soo Oh · Il-Nam Son ·Ki-Won Kim · Dong-Cheul Shin · Kee-Yong Ha
- چاپ و سال / کشور: 2011
Description
Spinal extradural arachnoid cysts are rare expanding lesions, and their etiology is mainly unknown. The authors present a rare case of metastatic pancreatic cancer presenting as an arachnoid cyst of the cervical spine. A 61-year-old woman with progressive neurological deWcits was presented with a very large cystic mass from C3 to C6 and C7 and T1 that was a metastatic lesion causing severe collapse of vertebral bodies and subluxation. A posterior laminectomy from C3 to C6 for excision of the cysts and marginal excision including laminectomy around C7 and T1 were performed with instrumented fusion to prevent further collapse and subluxation of T1. No communication between the cysts and the subarachnoid space was found in the surgical Weld. The neurological symptoms rapidly improved immediately after the surgery. The histology of resected specimens was metastatic mucin-producing adenocarcinoma. This report describes a rare case of metastasis of pancreatic cancer presenting as an arachnoid cyst of the cervical spine. The signiWcance of this study is that metastatic cystic lesions from pancreatic cancer should be considered in the diVerential diagnosis of arachnoid cysts of the spinal canal.
Eur J Orthop Surg Traumatol DOI 10.1007/s00590-011-0788-8 Received: 19 January 2011 / Accepted: 11 February 2011
