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Intramedullary tumor metastasis simulating radiation myelitis: Report of a case
Author(s) -
Margolis Lawrence,
Smith Marthe E.,
Fortuin Floyd D.,
Chin Frederick K.,
Liebel Steven A.,
Hill Dennis R.
Publication year - 1981
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/1097-0142(19811001)48:7<1680::aid-cncr2820480734>3.0.co;2-p
Subject(s) - medicine , myelitis , autopsy , intramedullary rod , radiation therapy , metastasis , radiology , surgery , spinal cord , pathology , cancer , psychiatry
A case of suspected radiation myelitis based on clinical history, previous irradiation, neurologic deficit in the irradiated volume, and normal myelogram is reported. At autopsy, intramedullary metastatic disease was found, but no radiation damage. All radiation details must be considered before making the diagnosis of radiation myelitis with confidence. It is important not to exclude other potentially helpful treatment, such as surgery or chemotherapy, by the presumptive diagnosis of radiation myelitis.