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Báo cáo khoa học: "Spinal cord compression by a solitary metastasis from a low grade leydig cell tumour: a case report and review of the literature"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Spinal cord compression by a solitary metastasis from a low grade leydig cell tumour: a case report and review of the literature | BioMed Central World Journal of Surgical Oncology Open Access Case report Spinal cord compression by a solitary metastasis from a low grade leydig cell tumour a case report and review of the literature Efthimios P Samoladas 1 Ashraf S Anbar1 Jonathan D Lucas1 Hlias Fotiadis2 and Byron E Chalidis3 Address Spinal Unit Guy s Hospital London UK 2Department of Orthopaedics Veria General Hospital Greece and 3Department of orthopaedics USCF Hospital San Francisco USA Email Efthimios P Samoladas - msamolad@gmail.com Ashraf S Anbar - ashraf_anbar@hotmail.com Jonathan D Lucas - Jonathan.Lucas@gstt.sthames.nhs.uk Hlias Fotiadis - fotiad-h@otenet.gr Byron E Chalidis - byronchalidis@gmail.com Corresponding author Published 10 July 2008 Received 21 November 2007 World Journal of Surgical Oncology 2008 6 75 doi 10.1186 1477-7819-6-75 Accepted 10 July 2008 This article is available from http www.wjso.com content 6 1 75 2008 Samoladas et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Leydig tumour is rare and there are only three cases with metastatic disease reported. Case presentation A 52 year-old Caucasian male was admitted on emergency basis to the Orthopaedic Department with six weeks history of increasing midthoracic back pain change in gait poor balance subjective weakness and numbness of the lower trunk and legs. MRI scan showed change in the signal intensity of T4 and T5 vertebral body but their height were maintained. Urgent T4 and T5 corpectomies decompression of the spinal cord and reconstruction of the vertebral bodies were performed followed by radiotherapy. Neurological status significantly improved with a mild residual numbness over the dorsum of the right foot. The histology of the excised tumour .