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Resection of an intramedullary high cervical metastasis from a malignant mixed Muellerian tumour
Authors:Martin Nikolaus Stienen  Daniel Hinkerohe  Albrecht Harders  Sebastian Lücke
Affiliation:1. Department of Neurosurgery, University Clinic Bochum Langendreer, University Hospital Bochum-Langendreer, Bochum, Germany;2. Department of Neurology, University Clinic Bochum Langendreer, In der Schornau 23-25, 44892 Bochum, Germany;3. Clinic for Neurosurgery, Kantonsspital St.Gallen, St.Gallen, Switzerland
Abstract:We present a 66-year-old female patient with a high cervical intramedullary metastasis from a malignant mixed Muellerian tumour (MMMT; carcinosarcoma) with concomitant syringomyelia. She was admitted to our clinic with symptoms of cervical myelopathy. MRI revealed an intramedullary tumour of 2.6 cm × 1.2 cm at the cervical vertebral body C2. We performed a laminectomy on C2 followed by a dorsal median myelotomy from C1 to C3 to resect the tumour. The surgical intervention removed the tumour completely and resolved the syringomyelia. During the 36 months of follow-up, the patient presented in a stable condition with no evidence of tumour recurrence. To our knowledge, this is the first report of an intramedullary metastasis of a MMMT.
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