Successful Neurological Recovery with Multimodality Therapy without Surgery for Spinal Metastases from Advanced Gastric Cancer
Joint Authors
Ohtori, Seiji
Kamoda, Hiroto
Yonemoto, Tsukasa
Ishii, Takeshi
Kinoshita, Hideyuki
Tsukanishi, Toshinori
Hagiwara, Yoko
Hirosawa, Naoya
Amanuma, Yusuke
Nankinzan, Rino
Orita, Sumihisa
Inage, Kazuhide
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-02-06
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Advanced gastric cancer with bone metastasis has a very poor prognosis with short median survival.
To the best of our knowledge, no reports in literature have described extensive recovery of paralysis with multimodality treatment without surgery in these cases.
This report describes the case of a 52-year-old severely paralyzed female patient with spinal metastasis from advanced gastric cancer.
She was inoperable, owing to a large thrombus in the inferior vena cava; alternative multimodality treatments, including chemotherapy and radiotherapy, were administered.
The paralysis and the bladder and rectal dysfunction improved considerably.
In addition, the performance status (PS) and Frankel grade also improved dramatically, from 4 to 1 and grade B to D, respectively.
At 1 year after initiation of treatment, she is ambulatory.
Patients with poor PS are often offered palliative therapy.
However, this case demonstrates that poor PS solely due to paralysis from spinal metastasis may necessitate multimodality treatment instead of palliative care.
American Psychological Association (APA)
Kinoshita, Hideyuki& Kamoda, Hiroto& Ishii, Takeshi& Hagiwara, Yoko& Tsukanishi, Toshinori& Amanuma, Yusuke…[et al.]. 2020. Successful Neurological Recovery with Multimodality Therapy without Surgery for Spinal Metastases from Advanced Gastric Cancer. Case Reports in Orthopedics،Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1149910
Modern Language Association (MLA)
Kinoshita, Hideyuki…[et al.]. Successful Neurological Recovery with Multimodality Therapy without Surgery for Spinal Metastases from Advanced Gastric Cancer. Case Reports in Orthopedics No. 2020 (2020), pp.1-6.
https://search.emarefa.net/detail/BIM-1149910
American Medical Association (AMA)
Kinoshita, Hideyuki& Kamoda, Hiroto& Ishii, Takeshi& Hagiwara, Yoko& Tsukanishi, Toshinori& Amanuma, Yusuke…[et al.]. Successful Neurological Recovery with Multimodality Therapy without Surgery for Spinal Metastases from Advanced Gastric Cancer. Case Reports in Orthopedics. 2020. Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1149910
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1149910