The Cervical Epidural Space Metastasis of Ewing's Sarcoma
Küçük Resim Yok
Tarih
2013
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Ewing sarkomu ilk üç dekatda en sık görülen birincil kemik kanserleridir. Kemik ve akciğer metastazları hızlı bir seyir izler. Ewing sarkomunun omurga tutulumu nadir bir klinik durumdur. Lokal ağrı, ele gelen kitle ve nörolojik defisitler Ewing sarkomu tiradını meydana getirir. Omurga Ewing sarkomunun yönetimi ve tedavisinde, cerrahi, radyoterapi ve kemoterapi kombinasyonları yer almaktadır. Omurga Ewing sarkomunun takibinde akut nörolojik kötüleşme dekompresif cerrahiyi öne çıkarır. Bu çalışmada daha önce Ewing sarkomu tanısı almış 32 yaşında erkek bir hastada, medikal onkoloji tarafından izlemdeyken akut nörolojik kötüleşme sonrası üst ekstremite spastik paraparezi ve alt ekstremitede parapleji nedeniyle acil dekompresif cerrahi uygulanması ve sonuçları literatür eşliğinde tartışılmıştır.
Ewing's sarcoma is a primary bone malignancy with the highest incidence in the first to third decades of life. That in both locations follow a rapid course with metastasis to lung and bone. Ewing's sarcoma of the spine is a rare condition that appears with a clinical triad of local pain, neurological deficit and a palpable mass. The definitive management of Ewing's sarcoma of the spine, as in other locations, could include three main modalities: surgery, radiotherapy, and chemotherapy. In the presence of acute neurological decompensation, decompressive surgery via an appropriate approach should be performed. In this study; a 32-year-old male with a sudden progressive severe upper extremity spastic paresis and paraplegy has been presented. We wanted to discuss the preoperative process and treatment modalities.
Ewing's sarcoma is a primary bone malignancy with the highest incidence in the first to third decades of life. That in both locations follow a rapid course with metastasis to lung and bone. Ewing's sarcoma of the spine is a rare condition that appears with a clinical triad of local pain, neurological deficit and a palpable mass. The definitive management of Ewing's sarcoma of the spine, as in other locations, could include three main modalities: surgery, radiotherapy, and chemotherapy. In the presence of acute neurological decompensation, decompressive surgery via an appropriate approach should be performed. In this study; a 32-year-old male with a sudden progressive severe upper extremity spastic paresis and paraplegy has been presented. We wanted to discuss the preoperative process and treatment modalities.
Açıklama
Anahtar Kelimeler
Nörolojik Bilimler
Kaynak
Journal of Neurological Sciences (Turkish)
WoS Q Değeri
N/A
Scopus Q Değeri
Cilt
30
Sayı
3
