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ULTIMO FASCICOLOJOURNAL OF NEUROSURGICAL SCIENCES

Rivista di Neurochirurgia


Indexed/Abstracted in: e-psyche, EMBASE, PubMed/MEDLINE, Neuroscience Citation Index, Science Citation Index Expanded (SciSearch), Scopus
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Journal of Neurosurgical Sciences 2002 Dicembre;46(3-4):147-9

 CASE REPORTS

Metastatic ­breast can­cer ­delayed bra­chi­al plex­op­a­thy. A ­brief ­case ­report

Zingale A. 1, Ponzo G. 1, Ciavola G. 2, Vagnoni G. 3

1 Department of Neurosurgery, University of Catania, Catania, Italy;
2 Department of Radiology, Garibaldi Hospital, Catania, Italy;
3 Department of Surgery, University of Catania, Catania, Italy

Metastatic involve­ment of bra­chi­al plex­op­a­thy is a ­rare con­di­tion ­that is ­often asso­ciat­ed ­with ­advanced system­ic ­breast can­cer and the ­role of sur­geon ­appears to be restrict­ed ­because ­radio-chem­o­ther­a­py is bet­ter rec­om­mend­ed in ­this set­ting. We ­report a ­case of a 64-­year-old wom­an ­that pre­sent­ed a ­very ­delayed ­breast can­cer met­a­stat­ic low­er ­trunks ­lesions with­out asso­ciat­ed radi­a­tion inju­ry, treat­ed by sur­gery. MRI of plex­us and CT of ­chest and axil­la are meth­ods of ­choice in pre­op­er­a­tive radio­log­i­cal eval­u­a­tion. Neurosurgeon ­effort is restrict­ed to pro­vide path­o­log­ic diag­no­sis (con­firm of metas­ta­sis), ade­quate ­pain con­trol and improve­ment of neu­ro­log­i­cal func­tion. So ­that sur­gi­cal explo­ra­tion and neu­rol­y­sis ­should be per­formed as ­soon as pos­sible ­after appear­ance of neu­ro­log­i­cal def­i­cits ­before den­er­va­tion ­signs ­occurs. General sur­geon pres­ence ­should be war­rant­ed for ­more rad­i­cal remov­al of ­remain ­lymph ­nodes and met­a­stat­ic ­nodal infil­tra­tion of adja­cent ana­tom­i­cal struc­tures (ves­sels and so on) ­when detect­ed by pre­op­er­a­tive radio­log­i­cal ­work-up.

lingua: Inglese


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