Metastatic gastrointestinal stromal tumor to the thoracic and lumbar spine: first reported case and surgical treatment

Abstract Background context Metastatic epidural spinal cord compression from gastrointestinal stromal tumors (GISTs) is a rarely reported phenomenon. Purpose To describe the surgical management of metastatic GIST to two noncontiguous regions of the spinal column. Study design Case report. Methods Re...

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Bibliographic Details
Published in:The spine journal 2012, Vol.12 (1), p.e7-e12
Main Authors: Slimack, Nicholas P., MD, Liu, John C., MD, Koski, Tyler, MD, McClendon, Jamal, MD, O’Shaughnessy, Brian A., MD
Format: Article
Language:English
Subjects:
Adult
Decompression, Surgical
Duodenal Neoplasms - pathology
Duodenal Neoplasms - surgery
Gastrointestinal stromal tumor
Gastrointestinal Stromal Tumors - pathology
Gastrointestinal Stromal Tumors - surgery
Humans
Liver Neoplasms - secondary
Liver Neoplasms - surgery
Lumbar Vertebrae
Male
Metastatic
Orthopedics
Spinal Cord Compression - etiology
Spinal Cord Compression - surgery
Spinal Fusion
Spinal instrumentation
Spinal Neoplasms - complications
Spinal Neoplasms - secondary
Spinal Neoplasms - surgery
Thoracic Vertebrae
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Summary:Abstract Background context Metastatic epidural spinal cord compression from gastrointestinal stromal tumors (GISTs) is a rarely reported phenomenon. Purpose To describe the surgical management of metastatic GIST to two noncontiguous regions of the spinal column. Study design Case report. Methods Review of the medical chart, radiographic studies, and relevant literature. Results The patient underwent direct surgical decompression and stabilization of the cervicothoracic junction and the lumbar region during treatment of two distinct sites of metastatic pathology. Conclusions Treatment of epidural compression from metastatic GIST with direct decompression and stabilization is safe and feasible.
ISSN:1529-9430
1878-1632
DOI:10.1016/j.spinee.2011.10.037