Vol 17, No 2 (2021)
Case report
Published online: 2020-11-30

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Metastasis of ovarian cancer to the spinal cord — case study

Adam Wojciech Kłębczyk1, Zbigniew Wolszczak1, Sławka Urbaniak-Wąsik2, Sebastian Podlewski1
Oncol Clin Pract 2021;17(2):81-84.

Abstract

Spinal cord metastatic cancer occurs very rarely in clinical setting. There are only several hundred such cases described. Out of those, in the English PubMed database there are only 7 cases of metastasis of ovarian cancer available. Ovarian cancer spinal cord metastases are usually located in the thoracic part (next — in the cervical spine and in the medullary cone). They may manifest with weakening of muscle strength and sensibility, more rarely in sphincters function disorders. In diagnostics, the magnetic resonanse imaging (MRI) with contrast is the test of choice. In treatment, chemotherapy, radiotherapy (including radiosurgery) and surgery are applied. Unfortunately, prognosis for this cancer is poor. Below there is a description of a case of a 66-year-old patient with 2-year history of serous ovarian cancer treatment. Due to progression of paresis of lower limbs type, spine MRI with contrast was performed and it revealed metastatic lesion in the spinal cord at the level of the medullary con. In the paper, the postoperative result of pathology examination is described.

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