Spinal metastatic disease

Case contributed by Ian Bickle
Diagnosis certain

Presentation

Metastatic breast cancer. Spinal pain ? metastases

Patient Data

Age: 50 years
Gender: Female
mri

6 mm right sided intermedullary nodule at the cervicomedullary junction.

Irregular nodular enhancement along the full length of the dura and along the cauda equina in keeping with a 'Zuckerguss' appearance.

Three enhancing nodules in the nerve roots of the cauda equina the largest measuring 5 mm.

Posterior fossa cerebral metastases.

 

Case Discussion

A breast cancer patient with extensive spinal metastatic disease.

Metastases are observed in the medulla of the cord, dura and drop metastases on the cauda equina.

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