Multiple Vertebral Metastases from Malignant Cardiac Pheochromocytoma-Case Report

Satoshi YAMAGUCHI; Kazutoshi HIDA; Nishio NAKAMURA; Toshitaka SEKI; Yoshinobu IWASAKI

doi:10.2176/nmc.43.352

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Multiple Vertebral Metastases from Malignant Cardiac Pheochromocytoma-Case Report

Journal article

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Multiple Vertebral Metastases from Malignant Cardiac Pheochromocytoma-Case Report

Satoshi YAMAGUCHI, Kazutoshi HIDA, Nishio NAKAMURA, Toshitaka SEKI and Yoshinobu IWASAKI

Neurologia medico-chirurgica, Vol.43(7), pp.352-355

2003

DOI: 10.2176/nmc.43.352

PMID: 12924596

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Abstract

A 27-year-old male presented with a very rare metastasis to the vertebral body from a cardiac pheochromocytoma manifesting as a pathological fracture of the C-4 vertebral body that occurred while playing golf. The patient was initially treated with hard collar fixation. Gallium scintigraphy demonstrated multiple hot spots in the mediastinum, the frontal bone, the vertebral column, and the rib. Magnetic resonance imaging of the chest delineated a cardiac tumor. The patient underwent biopsies of the cardiac and the frontal bone lesions. The diagnosis was malignant cardiac pheochromocytoma with multiple bone metastases. Initial irradiation of the cardiac and the vertebral lesions was followed by surgical intervention to the cervical spine to prevent aggravation of the kyphotic deformity and spinal cord compression. Preoperative embolization of the feeding arteries was followed by C-4 corpectomy, iliac bone grafting, and anterior titanium plating fixation. The patient was discharged and returned to work. However, 20 months later, he died of a metastatic brain lesion with systemic tumor progression.

malignant cardiac pheochromocytoma

corpectomy and fusion

vertebral metastasis

Details

Title: Subtitle: Multiple Vertebral Metastases from Malignant Cardiac Pheochromocytoma-Case Report
Creators: Satoshi YAMAGUCHI - Department of Neurosurgery, Hokkaido University Graduate School of Medicine
Kazutoshi HIDA - Department of Neurosurgery, Hokkaido University Graduate School of Medicine
Nishio NAKAMURA - College of Medical Technology, Hokkaido University
Toshitaka SEKI - Department of Neurosurgery, Hokkaido University Graduate School of Medicine
Yoshinobu IWASAKI - Department of Neurosurgery, Hokkaido University Graduate School of Medicine
Resource Type: Journal article
Publication Details: Neurologia medico-chirurgica, Vol.43(7), pp.352-355
DOI: 10.2176/nmc.43.352
PMID: 12924596
NLM abbreviation: Neurol Med Chir (Tokyo)
ISSN: 0470-8105
eISSN: 1349-8029
Publisher: 一般社団法人日本脳神経外科学会
Language: English
Date published: 2003
Academic Unit: Neurosurgery
Record Identifier: 9984040451402771

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