Open AccessLongitudinally Extensive Transverse Myelitis as Presenting Manifestation of Lung Adenocarcinoma
Author(s) -
Davinder Singh Rana,
Anshu Rohatgi,
Samir Patel,
Nikhil Dave,
Rajat Agarwal,
Pooja Gupta
Publication year - 2018
Publication title -
indian journal of medical and paediatric oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.229
H-Index - 22
eISSN - 0975-2129
pISSN - 0971-5851
DOI - 10.4103/ijmpo.ijmpo_55_16
Subject(s) - medicine , malignancy , transverse myelitis , pathology , lung , adenocarcinoma , presentation (obstetrics) , lung cancer , radiology , cancer , immunology , multiple sclerosis
Longitudinally extensive transverse myelitis (LETM) is an unusual manifestation of systemic malignancy. It has been mainly reported with lung cancers and lymphoproliferative malignancy. LETM in systemic malignancy can be caused by either intramedullary metastases or paraneoplastic syndrome. Occurrence of LETM as the first manifestation of malignancy has been rarely reported. We present clinical, laboratory, and imaging findings of a 66-year-old man with nonsmall-cell lung (adeno) carcinoma, who presented with LETM without having any cardinal manifestations of lung malignancy. The rarity of the disease and especially such a presentation can cause considerable delay in the diagnosis and treatment.