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Journal of Korean Neurosurgical Society > Volume 25(9); 1996 > Article
Journal of Korean Neurosurgical Society 1996;25(9): 1929-1934.
Primary Spinal Malignant Melanoma in the Cervical Spinal Cord: Case Report.
Boung Cheul Bae, Geun Sung Song, Sung Hun Cha, Dong June Park, Chang Hwa Choi, Young Woo Lee
Department of Neurosurgery, Pusan National University School of Medicine, Pusa, Korea.
ABSTRACT
The primary melanoma of spinal cord was rarely reported in the literatures. The authors report a case of primary spinal maligmant melanoma in the cervical spinal cord. A 41-year-old man presented several months history of right shoulder pain and right hemiparesis. Plain X-ray of the cervical spine, myelography, computerized tomography and magnetic resonance imaging showed intradural mass from third to fifth cervical spine level. The operation was performed, and intradural intra-and extramedullary brownish black tumor, which focally infiltrated to the dura and inner surface of lamina, was removed and the histological diagnosis was maligmant melanoma. And then chemotherapy with vincristine, bleomycin, cisplatine, followed by whole central nervous system radiation therapy was performed. The patient was discharged and followed up with no neurological interval change. The pertinent literature of spinal cord melanoma is reviewed and its rareness is discussed.
Key Words: Primary spinal melanoma; Cervical cord; Intra- and extramedually lesion; Chemotherapy
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