ID 112301
Title Alternative
A case of advanced breast cancer with spinal palsy due to cervical bone metastasis who was improved a quality of life by emergent multidisciplinary oncological salvage
Author
Yukishige, Sawaka The University of Tokushima
Ikeuchi, Mayumi The University of Tokushima
Nakagawa, Misako The University of Tokushima KAKEN Search Researchers
Keywords
spinal decompression
breast cancer
bone metastasis
Content Type
Journal Article
Description
A 60s female complained of right thigh pain caused by bone metastasis from advanced breast cancer. She was introduced to our ward for systemic therapy with palliative radiation to painful osteolytic lesion in the right femur. She suddenly complained of serious pain and motility disturbance in the right upper-extremity two days after her admission. Magnetic resonance imaging(MRI)suggested bone metastasis in the 3rd cervical vertebra which compressed spinal cord. We discussed about an optimal treatment with the orthopedic surgeon and the radiation therapeutic physician, and laminectomy was scheduled promptly. She also had a right femur fracture a day before her planed laminectomy, so she underwent osteosynthesis of the femur together with laminectomy of the cervical vertebra. She also received the irradiation to the 3rd cervical vertebra and the shaft of right femur. She became able to eat with a spoon by herself and her activity of daily living(ADL)have fully recovered by daily rehabilitation. She is receiving chemotherapy in our out-patient clinic now. We recognized that an emergent oncological treatment for the spinal decompression by the bone metastasis could improve the patients’ quality of life(QOL)to avoid the permanent paralysis and also their prognoses.
Journal Title
Shikoku Acta Medica
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
74
Issue
3-4
Start Page
119
End Page
124
Sort Key
119
Published Date
2018-08-25
FullText File
language
jpn
TextVersion
Publisher
departments
University Hospital
Medical Sciences