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Case Reports in Medicine
Volume 2014 (2014), Article ID 583282, 3 pages
http://dx.doi.org/10.1155/2014/583282
Case Report

Spinal Intramedullary Metastasis of Breast Cancer

1Dr. Lutfi Kirdar Kartal Education and Research Hospital, Department of Neurosurgery, Kartal, 34890 Istanbul, Turkey
2Dr. Lutfi Kirdar Kartal Education and Research Hospital, Department of Pathology, 34890 Istanbul, Turkey
3Istanbul Medeniyet University Goztepe Education and Research Hospital, Department of Neurology, 34890 Istanbul, Turkey
4Acibadem University School of Medicine, Department of Pathology, 34890 Istanbul, Turkey

Received 30 July 2014; Accepted 26 October 2014; Published 13 November 2014

Academic Editor: Hitoshi Okamura

Copyright © 2014 Recep Basaran et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. Breast cancer accounts for approximately one-third of all cancers in females. Approximately 8.5 % of all central nervous system metastases are located in the spinal cord. These patients have rapidly progressing neurological deficits and require immediate examination. The aim of surgery is decompression of neural tissue and histological evaluation of the tumor. In this paper, we present a case of breast cancer metastasis in thoracic spinal intramedullary area which had been partially excised and then given adjuvant radiotherapy. Case. A 43-year-old female patient with breast cancer for 8 years was admitted to our hospital with complaints of weakness in both legs. Eight years ago, she received chemotherapy and radiotherapy. On her neurological examination, she had paraparesis (left lower extremity: 2/5, right lower extremity: 3/5) and urinary incontinence. Spinal MRI revealed a gadolinium enhancing intramedullary lesion. Pathologic examination of the lesion was consistent with breast carcinoma metastasis. The patient has been taken into radiotherapy. Conclusion. Spinal intramedullary metastasis of breast cancer is an extremely rare situation, but it has a high morbidity and mortality rate. Microsurgical resection is necessary for preservation or amelioration of neurological state and also for increased life expectancy and quality.