子宮癌の脊髄髄内転移の1例

A Case of Intramedullary Spinal Cord Metastasis from Adenocarcinoma of Corpus Uteri

I．はじめに

　悪性腫瘍の背髄髄内転移は比較的稀でありCostiganらの報告によると，悪性腫瘍剖検例の2.1％に背髄髄内転移を認めたとされる^4）．しかも，その大部分は悪性腫瘍末期の全身播種の結果として見られるもので，予後は非常に悪く神経症状出現後3カ月以内に80％以上の者が死亡している^7）．

　今回われわれは，子宮体癌の背髄髄内転移を示した1例を経験したので若干の文献的考察を加え報告する．

The authors present a case of a woman with in-tramedullary spinal cord metastasis from adenocarcino-ma of the corpus uteri. Such a case was not able to be found in the literature.

A 54 year-old woman complained of right upper ex-tremity weakness and headache. CT scan showed abnormality, and removal of a brain tumor was per-formed. After that, total hysterectomy, retroperitoneal lymphadenectomy and chemotherapy was carried out. Three months later, she suddenly experienced bilateral weakness in her lower extremities. After a few days she was unable to walk.