 |
Vol.37 No.6 contents | Japanese/English |
- Case Report -
Twenty-eight Years Old Small Cell Lung Cancer Case with Spinal Cord Metastasis Diagnosed Premortum
Ikuma Kasuga, Masayuki Kikawada, Akira Kunisawa, Yasushi Torii, Yuichi Ichinose and Keisuke ToyamaThe First Department of Internal Medicine, Tokyo Medical College
A 28-year-old non-smoking man was referred to our hospital with complaints of fever and chest pain in March 1996. His chest X-ray on admission showed a tumorous mass in the left lower lung field and pleural effusion. Fiberoptic bronchoscopy revealed stenosis of left lower lobe bronchus, and biopsied tumor specimen at the site confirmed the diagnosis of small cell carcinoma. Systemic chemotherapy with radiotherapy were performed, and he was discharged after achieving partial response. However, he was soon readmitted because of leg pain and gait disturbance. The spinal cord MRI showed intramedullar metastasis, and we performed radiotherapy for the lumbar medullar lesion. However, primary site and pleural effusion gradually worsened. He died due to respiratory failure 8 months after on admission. In view of the rarity of intramedullary metastasis associated with small cell carcinoma in such a young patient as the present case, a brief report seems warranted.
key words: Small cell carcinoma of the lung, Spinal cord metastasis, Young adalt, MRI
Received: July 2, 1997
Accepted: July 22, 1997
JJLC 37 (6): 899-902, 1997
