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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 11 - 13 (3page)
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A rare case of delayed large epidural mucin collection causing neurologic deficit after surgery for metastatic pancreatic cancer is reported. A 65-year-old man presented with intractable upper-thoracic back pain radiating to the chest and gait disturbance. He had a history of subtotal pancreatectomy due to intraductal papillary mucinous neoplasm (IPMN) of the pancreas and concurrent chemotherapy. Eight months after pancreatectomy, multiple thoracic spinal metastasis was diagnosed with routine up positron emission tomography-computed tomography. Radiotherapy for spinal metastasis and subsequent chemotherapy was carried out. Sixteen months after pancreatectomy, gait disturbance occurred and follow-up thoracic magnetic resonance imaging (MRI) showed aggravation of metastasis at T2 and T4 compressing the spinal cord. We performed a decompressive laminectomy with subtotal resection of the tumor masses and pedicle screw fixation at C7-T6. Neurologic status improved after the operation. Histopathologic examinations revealed the tumor as metastatic mucin producing adenocarcinoma. Three months after surgery, motor weakness and pain was reappeared. MRI showed large amount of epidural fluid collection. We performed wound revision and there was large amount of gelatinous fluid at the epidural space. We suggest that postoperative mucin collection and wound problems should be considered after surgery for mucin producing metastatic pancreatic tumor.
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참고문헌 (9)
참고문헌 신청
Chiang KC / 2012 / Oncocytic-type intraductal papillary mucinous neoplasm (IPMN)-derived invasive oncocytic pancreatic carcinoma with brain metastasis: a case report / World J Surg Oncol 10:138
Fritz S / 2009 / Management of mucin-producing cystic neoplasms of the pancreas / Oncologist 14:125~136
Jeong JH / 2007 / Effectiveness of surgical decompression and fixation in patients with metastatic spinal cord compression / Korean J Spine 4:201~214
Kang MJ / 2014 / Longterm prospective cohort study of patients undergoing pancreatectomy for intraductal papillary mucinous neoplasm of the pancreas:implications for postoperative surveillance / Ann Surg 260:356~363
Rosenberger LH / 2012 / Intraductal papillary mucinous neoplasm(IPMN) with extra-pancreatic mucin: a case series and review of the literature / J Gastrointest Surg 16:762~770
Fritz S / 2009 / Management of mucin-producing cystic neoplasms of the pancreas / Oncologist 14:125~136
Jeong JH / 2007 / Effectiveness of surgical decompression and fixation in patients with metastatic spinal cord compression / Korean J Spine 4:201~214
Kang MJ / 2014 / Longterm prospective cohort study of patients undergoing pancreatectomy for intraductal papillary mucinous neoplasm of the pancreas:implications for postoperative surveillance / Ann Surg 260:356~363
Rosenberger LH / 2012 / Intraductal papillary mucinous neoplasm(IPMN) with extra-pancreatic mucin: a case series and review of the literature / J Gastrointest Surg 16:762~770
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