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[Metastatic Grawitz's tumor to the cauda equina: case report].
No Shinkei Geka. 1990 Dec; 18(12):1157-60.NS

Abstract

A case of Grawitz's tumor metastasizing to the cauda equina is presented. A 51-year-old male was hospitalized due to severe low back pain radiating to the left lower extremity. Neurological examination showed only hyporeflexia of the left patella reflex and positive Lasegue's sign. MRI showed intradural mass at the L4 level. Preoperatively, we diagnosed a cauda equina tumor. A laminectomy of both L3 and L4 was performed, and total removal of the cauda equina tumor was performed. Microscopically, the tumor cells were large, the appearance of the cytoplasm ranging from optically clear with sharply outlined boundaries, to deeply granular, with many transitional forms. These histological findings were typical findings of Grawitz's tumor, and were the same as those of this patient's renal tumor. Finally, we diagnosed Grawitz's tumor metastasizing to the cauda equina. Metastatic cauda equina tumor from outside the central nervous system is very rare and only 7 cases have been reported. This case is the first one of Grawitz's tumor spreading to the cauda equina.

Authors+Show Affiliations

Department of Neurosurgery, Hokkaido University, School of Medicine.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article
Review

Language

jpn

PubMed ID

2280819

Citation

Takahashi, I, et al. "[Metastatic Grawitz's Tumor to the Cauda Equina: Case Report]." No Shinkei Geka. Neurological Surgery, vol. 18, no. 12, 1990, pp. 1157-60.
Takahashi I, Isu T, Iwasaki Y, et al. [Metastatic Grawitz's tumor to the cauda equina: case report]. No Shinkei Geka. 1990;18(12):1157-60.
Takahashi, I., Isu, T., Iwasaki, Y., Akino, M., Takahashi, A., Abe, H., Kitagawa, M., Kojima, H., Inoue, K., & Saitoh, H. (1990). [Metastatic Grawitz's tumor to the cauda equina: case report]. No Shinkei Geka. Neurological Surgery, 18(12), 1157-60.
Takahashi I, et al. [Metastatic Grawitz's Tumor to the Cauda Equina: Case Report]. No Shinkei Geka. 1990;18(12):1157-60. PubMed PMID: 2280819.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Metastatic Grawitz's tumor to the cauda equina: case report]. AU - Takahashi,I, AU - Isu,T, AU - Iwasaki,Y, AU - Akino,M, AU - Takahashi,A, AU - Abe,H, AU - Kitagawa,M, AU - Kojima,H, AU - Inoue,K, AU - Saitoh,H, PY - 1990/12/1/pubmed PY - 1990/12/1/medline PY - 1990/12/1/entrez SP - 1157 EP - 60 JF - No shinkei geka. Neurological surgery JO - No Shinkei Geka VL - 18 IS - 12 N2 - A case of Grawitz's tumor metastasizing to the cauda equina is presented. A 51-year-old male was hospitalized due to severe low back pain radiating to the left lower extremity. Neurological examination showed only hyporeflexia of the left patella reflex and positive Lasegue's sign. MRI showed intradural mass at the L4 level. Preoperatively, we diagnosed a cauda equina tumor. A laminectomy of both L3 and L4 was performed, and total removal of the cauda equina tumor was performed. Microscopically, the tumor cells were large, the appearance of the cytoplasm ranging from optically clear with sharply outlined boundaries, to deeply granular, with many transitional forms. These histological findings were typical findings of Grawitz's tumor, and were the same as those of this patient's renal tumor. Finally, we diagnosed Grawitz's tumor metastasizing to the cauda equina. Metastatic cauda equina tumor from outside the central nervous system is very rare and only 7 cases have been reported. This case is the first one of Grawitz's tumor spreading to the cauda equina. SN - 0301-2603 UR - https://www.unboundmedicine.com/medline/citation/2280819/[Metastatic_Grawitz's_tumor_to_the_cauda_equina:_case_report]_ L2 - https://medlineplus.gov/kidneycancer.html DB - PRIME DP - Unbound Medicine ER -