A Case Report of Spinal Epidural Metastasis of Prostate Carcinoma: Resolution by Hormonal Therapy

DOI 10 References
  • Morimoto Tadatsugu
    Department of Orthopaedic Surgery, Saga Social Insurance Hospital, Saga, Japan
  • Asami Akihiko
    Department of Orthopaedic Surgery, Saga Social Insurance Hospital, Saga, Japan
  • Maeda Kazumasa
    Department of Orthopaedic Surgery, Saga Social Insurance Hospital, Saga, Japan
  • Kugimoto Yasutaka
    Department of Orthopaedic Surgery, Saga Social Insurance Hospital, Saga, Japan
  • Katoku Mitsuhiro
    Department of Orthopaedic Surgery, Tsuruta Orthopaedic Clinic, Saga, Japan

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  • ホルモン療法が著効した前立腺癌の腰椎硬膜外転移の一例

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Abstract

Numerous approaches have been advocated for spinal epidural metastasis of prostate carcinoma, but there are no common recommendations for its treatment.<BR>Hormonal therapy, high-dose steroid, radiation therapy, laminectomy and various combination therapies have been used in the past. We report a 80-year-old man with spinal epidural metastasis of prostate carcinoma treated by hormonal therapy only.<BR>Hormonal therapy relieved his low back pain and restored neurological symptoms.<BR>MRI showed a significant decrease in the size of spinal epidural metastasis after the start of treatment. Our case suggests that hormonal therapy may be of value in the treatment of spinal epidural metastasis of prostate carcinoma.

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