Spinal Metastasis of the Malignant Melanoma - A Case Report -

Case Report

Korean J Spine 2005;2(3): 297-300.

Se-Hwan Kim, M.D., Ju-Ho Jeong, M.D., Rae-Sang Kim, M.D.¹

Department of Neurosurgery, Dongguk University College of Medicine,, Gyeong Ju, Korea. 1Department of Neurosurgery, Jeong Eup Asan Hospital, Jeongeup, Korea

척추로 전이한 악성 흑색종

김세환^,정주호^,김래상^¹

동국대학교 의과대학 신경외과학교실, 정읍 아산병원 신경외과¹

Abstract

The authors report a case of metastatic malignant melanoma to the spine. A 30-year-old male patient was presented with severe low back pain and both legs radiculopathy with intermittent neurogenic claudication. Magnetic resonance imaging study showed a pathologic fracture of L4 vertebral body and a mass lesion compressing the dural sac anteriorly. Also it showed a pedicle lesion of L2. He underwent a L4 vertebrectomy and partial resection of epidural mass with anterior retroperitoneal approach. For stability, total laminectomy and posterior spinal fusion was performed. Histologic findings revealed a malignant melanoma.

Keywords: Malignant melanoma.Vertebrectomy.Metastasis