Author/Authors :
Seidel, Clemens Department of Radiotherapy and Radiation Oncology - Leipzig University - Liebigstrasse - Leipzig, Germany , Hering, Kathrin Department of Radiotherapy and Radiation Oncology - Leipzig University - Liebigstrasse - Leipzig, Germany , Kortmann, Rolf-Dieter Department of Radiotherapy and Radiation Oncology - Leipzig University - Liebigstrasse - Leipzig, Germany , Bresch, Anke Department of Nuclear Medicine - Leipzig University - Liebigstrasse - Leipzig, Germany , Lobsien, Donald Department of Neuroradiology - Leipzig University - Liebigstrasse - Leipzig, Germany , Mueller, Wolf Department of Neuropathology - Leipzig University - Liebigstrasse - Leipzig, Germany
Abstract :
Up to date, only four cases of primary intradural extramedullary spinal cord melanoma (PIEM) have beenreported. No previous reports have described a case of PIEM located in the lower thoracic spine with long-term follow-up.Purpose.Demonstrating an unusual, extremely rare case of melanoma manifestation.Study Design.Casereport.Methods.Wereportacase of a 57-year-old female suffering from increasing lower extremity pain, left-sided paresis, and paraesthesia due to spinalcord compression caused by PIEM in the lower thoracic spine.Results. Extensive investigation excluded other possible primarymelanoma sites and metastases. For spinal cord decompression, the tumor at level T12 was resected, yet incompletely. Adjuvantradiotherapy was administered two weeks after surgery. The patient was recurrence-free at 104 weeks after radiotherapy but presentswith unchanged neurological symptoms.Conclusion. Primary intradural extramedullary melanoma (PIEM) is extremely rare andits clinical course is unpredictable.
