Epidural Metastasis in Malignant Thymoma Mimicking Epidural Abscess: Case Report and Literature Reviewopen access
- Authors
- 김지윤; 이영석; 강동호; 김민혜; 이정희; 이철희; 박인성
- Issue Date
- Dec-2017
- Publisher
- 대한척추신경외과학회
- Keywords
- Thymoma; Thymic carcinoma; Spinal metastasis
- Citation
- Neurospine, v.14, no.4, pp 162 - 165
- Pages
- 4
- Journal Title
- Neurospine
- Volume
- 14
- Number
- 4
- Start Page
- 162
- End Page
- 165
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/71967
- DOI
- 10.14245/kjs.2017.14.4.162
- ISSN
- 2586-6583
2586-6591
- Abstract
- Thymoma and thymic carcinoma are rare epithelial tumors that originate from the thymus gland. Extrathoracic metastases occur in the liver, kidney, and bone in 1% to 15% of patients. Although thymoma and thymic carcinoma exhibit highly aggressive biological behavior, spinal metastasis is rare. We describe a 78-year-old man with left wrist and grasp weakness that occurred 7 days before admission. The patient underwent thymoma surgery 7 years ago and was cured. Magnetic resonance images showed a rim-enhanced mass in the C6-7-T1 epidural space. C6-7-T1 laminectomy was performed and the mass was removed. Histological examination was performed and patient was diagnosed with metastatic thymoma. The previous reported case occurred with involvement of the vertebral body or posterior element, but our case was mostly rim-enhanced and appeared as an abscess and intradural extramedullary tumor.
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