Abstract
Ovarian carcinomas metastasizing to the spinal cord are infrequent. Incidences of isolated metastatic deposits of ovarian carcinoma to spinal medulla have rarely been reported. We present a case of a 74 year old woman who was previously diagnosed with and treated for ovarian adenocarcinoma. She was disease-free for a period of 8 years after which she presented with complaints of low back pain and numbness in both lower limbs. On PET evaluation she was found to have an isolated space occupying intra-medullary lesion at D-7 level. Biopsy from the lesion revealed features of metastatic ovarian papillary adenocarcinoma. Spinal metastasis from ovarian carcinoma indicates a poor prognosis with a survival of 10 months to 3 years. Recognizing intramedullary metastatic deposits is essential as timely intervention may prevent permanent neurological sequelae.
Keywords: intra-medullary spinal cord metastasis, ovarian adenocarcinoma.
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Corresponding Author
Dr Milap Shah
MD (Pathology), Senior Consultant Pathologist
Yashoda Hospital, Secunderabad
DOI: https://dx.doi.org/10.18535/jmscr/v6i7.11
